Organization Active NPI

Priya K. Rao, LLC

  • Mental Health Counselor
  • Brighton, MI
National Provider Identifier
1245869841
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PRIYA K. RAO, LLC
Practice address
7946 Branch Dr
Brighton, MI 48116-8815
Phone
(248) 231-3306
Fax
(413) 751-7582
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Priya Rao, PHD, LPNPI 1275651812
Title
Practice Owner
Phone
(248) 231-3306

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7946 Branch Dr
Brighton, MI 48116-8815

Mailing address

7946 Branch Dr
Brighton, MI 48116-8815
Phone (248) 231-3306

Other names 1

  • NEUROBLOOM PSYCHOLOGICAL CLINIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 4137517582 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200605000411 MI Part B Supplier - Clinic/Group Practice 6709207426 Receives reassigned benefits from 1 practitioner
Practice locations: Commerce Township, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1245869841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7946 BRANCH DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168815",
            "telephone_number": "248-231-3306",
            "fax_number": "413-751-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 BRANCH DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168815",
            "telephone_number": "248-231-3306",
            "fax_number": "413-751-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYA K. RAO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "248-231-3306",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4137517582",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7946 Branch Dr",
            "city": "Brighton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481168815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NEUROBLOOM PSYCHOLOGICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.

Verify at the official NPI Registry.