Farmington Hills Counseling Services PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301008484 Issued in MI

Legal business name

FARMINGTON HILLS COUNSELING SERVICES PC

Practice address

32905 W 12 Mile Road
Suite 250
Farmington Hills, MI 48334-3358

Phone

(248) 553-0770

Fax

(248) 553-8116

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Mark Cotter, PHD

Title

President Owner

Phone

(248) 553-0770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1104848068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE ROAD",
            "address_2": "SUITE 250",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343358",
            "telephone_number": "248-553-0770",
            "fax_number": "248-553-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE ROAD",
            "address_2": "SUITE 250",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343358",
            "telephone_number": "248-553-0770",
            "fax_number": "248-553-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON HILLS COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "248-553-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "680F33702",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farmington Dental PLLC
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• Farmington Family Physicians PC
• Farmington Hills Center for Child Therapy PLLC
• Farmington Hills Complete Family Dentistry
• Farmington Hills Medical Center, PC
• Farmington Hills Medical RX, LLC
• Farmington Hills Pharmacy PLLC
• Farmington Hills Urgent Care Walk-in Clinic PC
• Farmington Medical Pharmacy Inc

• Psychologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.