Bloomfield Consulting, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6301013520 Issued in MI

Legal business name

BLOOMFIELD CONSULTING, PLLC

Practice address

300 E Long Lake Rd
Suite 130
Bloomfield Hills, MI 48304-2374

Phone

(248) 515-7344

NPI assigned

Feb 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Laura Fadell, PH.D.NPI 1184738676

Title

Licensed Psychologist

Phone

(248) 515-7344

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura W Fadell, LLP

  • Clinical Psychologist
  • Port Huron, MI
  • NPI 1184738676
  NPD (past) Authorized official

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1134544331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 ALLEN RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482729",
            "telephone_number": "248-515-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE RD",
            "address_2": "SUITE 130",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042374",
            "telephone_number": "248-515-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "FADELL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-515-7344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6301013520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Blatnikoff
• Sally Bloch, PHD
• Bloom Therapy, PLLC
• Ashley Bloom
• Lauren Bloom, LMSW
• Bloomfield Dental Care, P.C.
• Bloomfield Dental Group PC
• Bloomfield Family
• Bloomfield Foot & Ankle Specialists PLLC
• Bloomfield Hills Care Group, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.