Active NPI
Innovative Psychological Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grosse Pointe, MI
National Provider Identifier
1063180255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- INNOVATIVE PSYCHOLOGICAL SERVICES LLC
- Practice address
- 377 Fisher Rd Ste D3
Grosse Pointe, MI 48230-1673 - Phone
- (248) 537-2489
- NPI assigned
- Sep 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tasha Leno
- Title
- Psychologist
- Phone
- (313) 732-7861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
377 Fisher Rd Ste D3
Grosse Pointe, MI 48230-1673
Mailing address
377 Fisher Rd Ste D3
Grosse Pointe, MI 48230-1673
Phone (313) 732-7861
National Provider Directory
National Provider DirectoryLocations
377 Fisher Rd
Ste D3
Grosse Pointe, MI 48230
Phone (248) 537-2489
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Grosse Pointe, MI
- NPI 1790264760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1063180255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 FISHER RD STE D3",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301673",
"telephone_number": "313-732-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 FISHER RD STE D3",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301673",
"telephone_number": "248-537-2489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE PSYCHOLOGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-01",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "LENO",
"authorized_official_first_name": "TASHA",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "313-732-7861"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.