NPIMap

Organization Active NPI

Access Christian Counseling

  • Clinical Psychologist
  • Southfield, MI
National Provider Identifier
1154470755
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012712 Issued in MI
Legal business name
ACCESS CHRISTIAN COUNSELING
Practice address
29260 Franklin Rd
Suite 121
Southfield, MI 48034-1161
Phone
(248) 355-4300
Fax
(248) 355-4393
NPI assigned
Jan 10, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Charles Earnest Capicchioni, PSY.D., L.L.P.
Title
Director
Phone
(248) 355-4300

Practitioners 9

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

National Provider Directory

National Provider Directory
Tax ID family
Access Christian Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301012712 MI Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 6301010435 MI

Addresses

NPPES NPI Registry

Primary practice location

29260 Franklin Rd
Suite 121
Southfield, MI 48034-1161

Mailing address

29260 Franklin Rd
Suite 121
Southfield, MI 48034-1161
Phone (248) 355-4300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2010.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1154470755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29260 FRANKLIN RD",
            "address_2": "SUITE 121",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341161",
            "telephone_number": "248-355-4300",
            "fax_number": "248-355-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29260 FRANKLIN RD",
            "address_2": "SUITE 121",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341161",
            "telephone_number": "248-355-4300",
            "fax_number": "248-355-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "CAPICCHIONI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EARNEST",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-355-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., L.L.P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012712",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6301010435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.