Active NPI
Carol Ann Love Leach, MA LLP
- Psychologist
- Farmington Hills, MI
National Provider Identifier
1114931615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301008640
- Practice address
- 31275 Northwestern Hwy Ste 203
Farmington Hills, MI 48334-2579 - Phone
- (248) 830-6357
- Fax
- (313) 930-8635
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301008640 | MI | Primary |
Addresses
Primary practice location
31275 Northwestern Hwy Ste 203
Farmington Hills, MI 48334-2579
Mailing address
260 Hickory LN
Waterford, MI 48327-2570
Phone (248) 830-6357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11712865 | Other | DC | CAQH |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008640 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1114931615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 HICKORY LN",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483272570",
"telephone_number": "248-830-6357",
"fax_number": "313-930-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31275 NORTHWESTERN HWY STE 203",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342579",
"telephone_number": "248-830-6357",
"fax_number": "313-930-8635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "CAROL",
"middle_name": "ANN LOVE",
"credential": "MA LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301008640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11712865",
"state": "DC"
}
],
"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 May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.