NPIMap

Organization Active NPI

Aspire Therapy Services, PLLC

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1093190100
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301007332 Issued in MI
Legal business name
ASPIRE THERAPY SERVICES, PLLC
Practice address
37000 Grand River Ave Ste 325
Farmington Hills, MI 48335-2868
Phone
(248) 624-8181
Fax
(855) 624-8161
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Dr. Randal Clay Bruce, PH.D.NPI 1306834551
Title
President
Phone
(248) 739-0760

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301007332 MI Primary

Addresses

Primary practice location

37000 Grand River Ave Ste 325
Farmington Hills, MI 48335-2868

Mailing address

PO Box 3380
Farmington Hills, MI 48333-3380
Phone (248) 624-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118001269 MI Part B Supplier - Clinic/Group Practice 9335550680 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

37000 Grand River Ave
Ste 325
Farmington Hills, MI 48335
Phone (248) 476-2229

Practitioners & affiliated clinicians

Practitioners 92

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1093190100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3380",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483333380",
            "telephone_number": "248-624-8181",
            "fax_number": "855-624-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37000 GRAND RIVER AVE STE 325",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352868",
            "telephone_number": "248-624-8181",
            "fax_number": "855-624-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-739-0760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.

Verify at the official NPI Registry.