Birmingham Family Therapy Clinic, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BIRMINGHAM FAMILY THERAPY CLINIC, INC

Practice address

1000 S Old Woodward Ave Ste 108
Birmingham, MI 48009-6729

Phone

(248) 258-9189

NPI assigned

Jan 18, 2024

Last updated

Jan 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tracey Stulberg, PH.D.NPI 1992911580

Title

Owner/President

Phone

(248) 258-9189

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey Lynn Stulberg, PH.D.

  • Marriage & Family Therapist
  • Birmingham, MI
  • NPI 1992911580
  Authorized official Same address or phone

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1225899107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE STE 108",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096729",
            "telephone_number": "248-258-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE STE 108",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096729",
            "telephone_number": "248-258-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM FAMILY THERAPY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "STULBERG",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-258-9189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.