Organization Active NPI

Sandra L. Parent, PH.D., LP, PLLC

  • Clinical Psychologist
  • Allen Park, MI
National Provider Identifier
1194097626
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014705 Issued in MI
Legal business name
SANDRA L. PARENT, PH.D., LP, PLLC
Practice address
15460 Daniel CT
Allen Park, MI 48101-3306
Phone
(313) 304-6352
Fax
(313) 221-9998
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. Sandra L. Parent, PH.D.
Title
Psychologist/Sole Proprietor
Phone
(313) 304-6352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301014705 MI Primary

Addresses

Primary practice location

15460 Daniel CT
Allen Park, MI 48101-3306

Mailing address

806 Oakwood Blvd
Dearborn, MI 48124-2319
Phone (313) 304-6352

National Provider Directory

National Provider Directory

Locations

806 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 304-6352

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1194097626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242319",
            "telephone_number": "313-304-6352",
            "fax_number": "313-221-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15460 DANIEL CT",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013306",
            "telephone_number": "313-304-6352",
            "fax_number": "313-221-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L. PARENT, PH.D., LP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "313-304-6352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.