Individual provider Active NPI

Marni Anne Gauci, PH.D.

  • Psychologist
  • Brighton, MI
National Provider Identifier
1245664655
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301015373 Issued in MI
Practice address
7960 Grand River Rd
Suite 120
Brighton, MI 48114-7330
Phone
(810) 227-1999
NPI assigned
Aug 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301015373 MI Primary

Addresses

Primary practice location

7960 Grand River Rd
Suite 120
Brighton, MI 48114-7330

Mailing address

7960 Grand River Rd
Suite 120
Brighton, MI 48114-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225001170 MI Practitioner - Clinical Psychologist 9931339637 Practice locations: Brighton, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

802 W Grand River Ave
Suite E
Brighton, MI 48116-2384

802 W Grand River Ave E
Marni a Gauci PHD
Brighton, MI 48116-2384
Phone (810) 772-0574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301015373MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter M Lisiecki PHD PC Inc Psychologist PastSince Feb 15, 2010 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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1245664655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 GRAND RIVER RD",
            "address_2": "SUITE 120",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 GRAND RIVER RD",
            "address_2": "SUITE 120",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147330",
            "telephone_number": "810-227-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUCI",
        "first_name": "MARNI",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.