Individual provider Active NPI

Sherry Lee Lord, PH. D., L.P.

  • Psychologist
  • Rochester Hills, MI
National Provider Identifier
1124051271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301006919 Issued in MI
Practice address
145 Rochdale Dr S
Suite D
Rochester Hills, MI 48309-2275
Phone
(248) 770-0937
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301006919 MI Primary

Addresses

Primary practice location

145 Rochdale Dr S
Suite D
Rochester Hills, MI 48309-2275

Mailing address

2308 Somerville Dr
Oxford, MI 48371-5838
Phone (248) 236-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000482 MI Practitioner - Clinical Psychologist 7214942465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BCS of Michigan LLCGroup PAC ID 0840503652, 41 clinicians

Practice addresses (Care Compare)

5500 Fort St
Trenton, MI 48183-4602
Phone (734) 671-3500

Merit-based Incentive Payment System (MIPS)

Final score
75.05 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
83.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301006919MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
BCS of Michigan LLC Psychologist CurrentSince Aug 28, 2023 Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients

Locations

3265 122nd Ave
#R2
Allegan, MI 49010
Phone (269) 673-2102

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

5500 Fort St
Trenton, MI 48183
Phone (734) 287-3000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124051271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 SOMERVILLE DR",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483715838",
            "telephone_number": "248-236-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROCHDALE DR S",
            "address_2": "SUITE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092275",
            "telephone_number": "248-770-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "SHERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH. D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.