Noemi Ebenstein, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301002033 Issued in MI

Practice address

21650 Wesl Eleven Mile Road
Suite 209
Southfield, MI 48076-3777

Phone

(248) 910-9291

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Noemi Ebenstein Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Noemi Ebenstein

  • Clinical Psychologist
  • Southfield, MI
  • NPI 1609010867
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1073667531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23020 COVENTRY WOODS LN",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342041",
            "telephone_number": "248-356-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21650 WESL ELEVEN MILE ROAD",
            "address_2": "SUITE 209",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763777",
            "telephone_number": "248-910-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBENSTEIN",
        "first_name": "NOEMI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOEMI",
            "last_name": "EBENSTEIN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caitlyn Eastling
• Jessica Eastwood, MD
• Alviana Davion Eaton, CHW
• Kyle Warwick Eaton, MD
• Eaze Pamperme Pretty LLC
• Patricia J Eble, NP
• Reginald N Eburuche Sr., MD
• Echols Support Services, Inc.
• Katrina Echols-Johnson
• Justice C Echols, MD

• Clinical Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.