Active NPI
Perspectives of Troy, PC
- Psychologist
- Portage, MI
National Provider Identifier
1144800855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PERSPECTIVES OF TROY, PC
- Practice address
- 1662 E Centre Ave
Portage, MI 49002-4496 - Phone
- (269) 321-8564
- NPI assigned
- Apr 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elliott Richelson, M.D.
- Title
- President, Treasurer, Secretary
- Phone
- (904) 605-4986
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Psychologist | 103T00000X | Primary | ||
| Social Worker | 104100000X |
Addresses
Primary practice location
1662 E Centre Ave
Portage, MI 49002-4496
Mailing address
2550 S Telegraph Rd Ste 250
Bloomfield Hills, MI 48302-0909
Phone (248) 322-0003
Other names 1
- Child and Family Psychological Services, PC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672358400000",
"number": "1144800855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 S TELEGRAPH RD STE 250",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020909",
"telephone_number": "248-322-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1662 E CENTRE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490024496",
"telephone_number": "269-321-8564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSPECTIVES OF TROY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-08",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A",
"authorized_official_last_name": "RICHELSON",
"authorized_official_first_name": "ELLIOTT",
"authorized_official_title_or_position": "PRESIDENT, TREASURER, SECRETARY",
"authorized_official_telephone_number": "904-605-4986",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Child and Family Psychological Services, PC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Child and Family Psychological Services, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.