Active NPI
Joseph F. Druker, PH.D.
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1104838960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301000695
- Practice address
- 2704 Glenbridge CT
Ann Arbor, MI 48104-6728 - Phone
- (734) 973-7654
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301000695 | MI | Primary |
Addresses
Primary practice location
2704 Glenbridge CT
Ann Arbor, MI 48104-6728
Mailing address
PO Box 2718
Ann Arbor, MI 48106-2718
Phone (734) 973-7654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301000695 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212883200000",
"number": "1104838960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2718",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481062718",
"telephone_number": "734-973-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 GLENBRIDGE CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046728",
"telephone_number": "734-973-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUKER",
"first_name": "JOSEPH",
"middle_name": "F.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2008-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301000695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.