Organization Active NPI

Stoney Creek Psychological Consulting PLLC

  • Psychologist
  • Rochester Hills, MI
National Provider Identifier
1093881740
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301007338 Issued in MI
Legal business name
STONEY CREEK PSYCHOLOGICAL CONSULTING PLLC
Practice address
455 Barclay Cir
Ste C1
Rochester Hills, MI 48307-4774
Phone
(248) 969-0176
Fax
(248) 853-0015
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Janet McPeek, PHD
Title
Phychologist
Phone
(248) 969-0176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301007338 MI Primary

Addresses

Primary practice location

455 Barclay Cir
Ste C1
Rochester Hills, MI 48307-4774

Mailing address

455 Barclay Cir
Ste C1
Rochester Hills, MI 48307-4774
Phone (248) 969-0176

National Provider Directory

National Provider Directory

Locations

455 Barclay Cir
Ste C-1
Rochester Hills, MI 48307
Phone (248) 564-2145

745 Barclay Cir
Ste 335
Rochester Hills, MI 48307
Phone (248) 420-9242

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1093881740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BARCLAY CIR",
            "address_2": "STE C1",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074774",
            "telephone_number": "248-969-0176",
            "fax_number": "248-853-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BARCLAY CIR",
            "address_2": "STE C1",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074774",
            "telephone_number": "248-969-0176",
            "fax_number": "248-853-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEY CREEK PSYCHOLOGICAL CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "MCPEEK",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PHYCHOLOGIST",
        "authorized_official_telephone_number": "248-969-0176",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.