Individual provider Active NPI

Andrew Howard Blinder, M.A., L.L.P

  • Psychologist
  • West Bloomfield, MI
National Provider Identifier
1164464244
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301007028 Issued in MI
Practice address
6024 W Maple Rd
Suite 107
West Bloomfield, MI 48322-4405
Phone
(248) 489-1550
Fax
(248) 489-9767
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301007028 MI Primary

Addresses

Primary practice location

6024 W Maple Rd
Suite 107
West Bloomfield, MI 48322-4405

Mailing address

27821 Santa Barbara Dr
Lathrup Village, MI 48076-3355
Phone (248) 489-1550

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
North Point Pioneer, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1164464244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27821 SANTA BARBARA DR",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763355",
            "telephone_number": "248-489-1550",
            "fax_number": "248-489-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 W MAPLE RD",
            "address_2": "SUITE 107",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224405",
            "telephone_number": "248-489-1550",
            "fax_number": "248-489-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINDER",
        "first_name": "ANDREW",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "M.A., L.L.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.