Renee Ilene Applebaum, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301009696 Issued in MI

Practice address

30150 Telegraph Rd
Suite 255
Bingham Farms, MI 48025-4519

Phone

(248) 203-9107

Fax

(248) 203-7117

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Renee Applebaum PH.D. PC

  • Clinical Neuropsychologist
  • Bingham Farms, MI
  • NPI 1659522159
  NPD Authorized official
• Birmingham Bloomfield Center for Assessment, PLLC

  • Clinical Neuropsychologist
  • Bloomfield Hills, MI
  • NPI 1427468404
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083789838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD",
            "address_2": "SUITE 255",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254519",
            "telephone_number": "248-203-9107",
            "fax_number": "248-203-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD",
            "address_2": "SUITE 255",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254519",
            "telephone_number": "248-203-9107",
            "fax_number": "248-203-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEBAUM",
        "first_name": "RENEE",
        "middle_name": "ILENE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301009696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Anton
• Rebecca Cipollone Antonacci, TLLP
• Ami Sheth Antonucci, PH.D.
• Juliet Anumba
• Apex Therapy Services, Inc
• Erica Ann Archer
• Arden Courts of Bingham Farms Mi LLC
• Ark Hospice LLC
• Victoria Armenio
• Hailey Arment

• Clinical Neuropsychologist in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.