Active NPI
John Louis Raniszewski
- Clinical Psychologist
- Madison Heights, MI
National Provider Identifier
1134508526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301010484
- Practice address
- 711 W 13 Mile Rd
Tri County Counseling Services LLC
Madison Heights, MI 48071 - Phone
- (586) 558-4260
- NPI assigned
- May 19, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301010484 | MI | Primary |
Addresses
Primary practice location
711 W 13 Mile Rd
Tri County Counseling Services LLC
Madison Heights, MI 48071
Mailing address
711 W 13 Mile Rd
Tri County Counseling Services LLC
Madison Heights, MI 48071
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010484 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1134508526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W 13 MILE RD",
"address_2": "TRI COUNTY COUNSELING SERVICES LLC",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "48071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 13 MILE RD",
"address_2": "TRI COUNTY COUNSELING SERVICES LLC",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "48071",
"telephone_number": "586-558-4260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANISZEWSKI",
"first_name": "JOHN",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-19",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301010484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.