Active NPI
Ann Wiersma, LLP
- Forensic Psychologist
- Huntington Woods, MI
National Provider Identifier
1164030219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 6361006596
- Practice address
- 26711 Woodward Ave Ste 301
Huntington Woods, MI 48070-1369 - Phone
- (248) 760-8873
- NPI assigned
- Jul 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 6361006596 | MI | Primary |
Addresses
Primary practice location
26711 Woodward Ave Ste 301
Huntington Woods, MI 48070-1369
Mailing address
27980 Greening St
Farmington Hills, MI 48334-3715
Phone (248) 760-8873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361006596 | MI | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1164030219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27980 GREENING ST",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343715",
"telephone_number": "248-760-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26711 WOODWARD AVE STE 301",
"city": "HUNTINGTON WOODS",
"state": "MI",
"postal_code": "480701369",
"telephone_number": "248-760-8873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERSMA",
"first_name": "ANN",
"name_prefix": "Ms.",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MI",
"license": "6361006596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.