Active NPI
Suzanne Cleck PSYD LLC
- Clinical Social Worker
- Wixom, MI
National Provider Identifier
1225496136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801085951
- Legal business name
- SUZANNE CLECK PSYD LLC
- Practice address
- 28345 Beck Rd
Suite 305
Wixom, MI 48393-4733 - Phone
- (248) 421-1553
- Fax
- (855) 856-1414
- NPI assigned
- Feb 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suzanne Cleck, PSYD LMSW LLP
- Title
- Psychotherapist
- Phone
- (248) 421-1553
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801085951 | MI | Primary |
Addresses
Primary practice location
28345 Beck Rd
Suite 305
Wixom, MI 48393-4733
Mailing address
28345 Beck Rd
Suite 305
Wixom, MI 48393-4733
Phone (248) 421-1553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Brighton, MI
- NPI 1669606661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454630400000",
"number": "1225496136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28345 BECK RD",
"address_2": "SUITE 305",
"city": "WIXOM",
"state": "MI",
"postal_code": "483934733",
"telephone_number": "248-421-1553",
"fax_number": "855-856-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28345 BECK RD",
"address_2": "SUITE 305",
"city": "WIXOM",
"state": "MI",
"postal_code": "483934733",
"telephone_number": "248-421-1553",
"fax_number": "855-856-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUZANNE CLECK PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-05",
"status": "A",
"authorized_official_last_name": "CLECK",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "248-421-1553",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD LMSW LLP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801085951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.