Active NPI
Bloomfield Counseling,P.C.
- Psychologist
- West Bloomfield, MI
National Provider Identifier
1063780146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301003797
- Legal business name
- BLOOMFIELD COUNSELING,P.C.
- Practice address
- 5600 W Maple Rd
Suite B-208
West Bloomfield, MI 48322-3704 - Phone
- (248) 851-7181
- Fax
- (248) 851-1223
- NPI assigned
- Dec 5, 2011
- 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. James Howard Eisenshtadt, PH.D.
- Title
- President
- Phone
- (248) 851-7181
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301003797 | MI | Primary |
Addresses
Primary practice location
5600 W Maple Rd
Suite B-208
West Bloomfield, MI 48322-3704
Mailing address
5600 W Maple Rd Ste B208
West Bloomfield, MI 48322-3707
Phone (248) 851-7181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5600 W Maple Rd
Ste B208
West Bloomfield, MI 48322
Phone (248) 851-7181
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- West Bloomfield, MI
- NPI 1851328488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323043200000",
"number": "1063780146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 W MAPLE RD STE B208",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223707",
"telephone_number": "248-851-7181",
"fax_number": "248-851-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 W MAPLE RD",
"address_2": "SUITE B-208",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223704",
"telephone_number": "248-851-7181",
"fax_number": "248-851-1223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOMFIELD COUNSELING,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A",
"authorized_official_last_name": "EISENSHTADT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-851-7181",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MI",
"license": "6301003797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
- Mollie E Blanchard-Brown, M.D.
- Yehudis Rivka Blavin, PA-C
- Brenda Blind, LPC
- Andrew Howard Blinder, M.A., L.L.P
- Bloomfield Chiropractic Center PLLC
- Bloomfield Medpointe Urgent Care Walk in Clinic PC
- Bloomfield Orchard Acquisition Company, Inc
- Margot Bloomfield, MA, LLP
- Bluemed Care PLLC
- Lori Beth Blumenstein-Bott, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.