Organization Active NPI

Psych Solutions PLLC

  • Psychologist
  • Bingham Farms, MI
National Provider Identifier
1144758392
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PSYCH SOLUTIONS PLLC
Practice address
30700 Telegraph Rd Ste 3450
Bingham Farms, MI 48025-4527
Phone
(248) 987-4721
Fax
(248) 987-4721
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Regina Brown, MANPI 1235301656
Title
Director/Owner
Phone
(248) 987-4721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

30700 Telegraph Rd Ste 3450
Bingham Farms, MI 48025-4527

Mailing address

30700 Telegraph Rd Ste 3450
Bingham Farms, MI 48025-4527
Phone (248) 987-4721

Other identifiers 1

IdentifierTypeStateIssuer
1665MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200603002616 MI Part B Supplier - Clinic/Group Practice 0042631863 Receives reassigned benefits from 4 practitioners
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

27620 Farmington Rd
Ste 101
Farmington Hills, MI 48334

31811 Middlebelt Rd
Ste 203
Farmington Hills, MI 48334
Phone (248) 559-3359

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1144758392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 3450",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254527",
            "telephone_number": "248-987-4721",
            "fax_number": "248-987-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 3450",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254527",
            "telephone_number": "248-987-4721",
            "fax_number": "248-987-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "248-987-4721",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.