Active NPI
Adult Neuropsychology
- Clinical Neuropsychologist
- Detroit, MI
National Provider Identifier
1063741270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6301008758
- Legal business name
- ADULT NEUROPSYCHOLOGY
- Practice address
- 4201 Saint Antoine St
4J Uhc
Detroit, MI 48201-2153 - Phone
- (313) 745-1784
- NPI assigned
- Dec 17, 2009
- Last updated
- Dec 17, 2009
- 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
- Dr. Darren Ronald Fuerst, PHD
- Title
- Director
- Phone
- (248) 363-4060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6301008758 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
4J Uhc
Detroit, MI 48201-2153
Mailing address
5006 Foothills Dr
Commerce Township, MI 48382-1559
Phone (248) 363-4060
National Provider Directory
National Provider DirectoryLocations
4201 Saint Antoine St
#4J
Detroit, MI 48201
Phone (313) 745-1784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261008000000",
"number": "1063741270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 FOOTHILLS DR",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483821559",
"telephone_number": "248-363-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "4J UHC",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-1784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT NEUROPSYCHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-17",
"last_updated": "2009-12-17",
"status": "A",
"authorized_official_last_name": "FUERST",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "RONALD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "248-363-4060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "6301008758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.