Active NPI
Michele Renee Meyers
- Psychologist
- Ann Arbor, MI
National Provider Identifier
1134380660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 3830 Packard St
Ann Arbor, MI 48108-2051 - Phone
- (313) 283-5482
- NPI assigned
- Jun 18, 2008
- Last updated
- Jun 27, 2020
- 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 | Primary |
Addresses
Primary practice location
3830 Packard St
Ann Arbor, MI 48108-2051
Mailing address
6159 Gabrielle Ave
Ann Arbor, MI 48103-9840
Phone (313) 283-5482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381459362 | Other | MI | HEALTH ALLIANCE PLAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurel Tree Counseling, LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593216000000",
"number": "1134380660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6159 GABRIELLE AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039840",
"telephone_number": "313-283-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082051",
"telephone_number": "313-283-5482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "MICHELE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2020-06-27",
"certification_date": "2020-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "381459362",
"state": "MI"
}
],
"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 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.