Pamela Helen Demaeght-Brooks, LLP, SCHOOL PSYCHOLO

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361006188 Issued in MI

Practice address

42140 Van Dyke Ave Ste 190
Sterling Heights, MI 48314-3679

Phone

(313) 656-4052

Fax

(313) 656-4053

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Imagine Center LLC

  • Clinical Psychologist
  • Northville, MI
  • NPI 1467899666
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1144956723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 FRANKLIN RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721812",
            "telephone_number": "248-408-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42140 VAN DYKE AVE STE 190",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143679",
            "telephone_number": "313-656-4052",
            "fax_number": "313-656-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAEGHT-BROOKS",
        "first_name": "PAMELA",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "LLP, SCHOOL PSYCHOLO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361006188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.