NPIMap

Organization Active NPI

Care Psychological Services

  • Clinical Psychologist
  • Plymouth, MI
National Provider Identifier
1124491147
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301016295 Issued in MI
Legal business name
CARE PSYCHOLOGICAL SERVICES
Practice address
42245 Ann Arbor Rd E Ste 101
Plymouth, MI 48170-4311
Phone
(734) 456-9006
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Mrs. Crystal Banks
Title
Owner/Psychotherapist
Phone
(734) 456-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301016295 MI Primary

Addresses

Primary practice location

42245 Ann Arbor Rd E Ste 101
Plymouth, MI 48170-4311

Mailing address

42245 Ann Arbor Rd E Ste 101
Plymouth, MI 48170-4311
Phone (734) 456-9006

National Provider Directory

National Provider Directory

Locations

42245 Ann Arbor Rd E
Ste 101
Plymouth, MI 48170
Phone (734) 456-9006

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1124491147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42245 ANN ARBOR RD E STE 101",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704311",
            "telephone_number": "734-456-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42245 ANN ARBOR RD E STE 101",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704311",
            "telephone_number": "734-456-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-456-9006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.