Active NPI
Terri Stockton
- Psychologist
- Ypsilanti, MI
National Provider Identifier
1245965425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362009435
- Practice address
- 4808 Textile Rd
Ypsilanti, MI 48197-9030 - Phone
- (517) 285-6255
- NPI assigned
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | MI | ||
| Psychologist | 103T00000X | 6362009435 | MI | Primary |
Addresses
Primary practice location
4808 Textile Rd
Ypsilanti, MI 48197-9030
Mailing address
4808 Textile Rd
Ypsilanti, MI 48197-9030
Phone (517) 285-6255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009435 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245965425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4808 TEXTILE RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481979030",
"telephone_number": "517-285-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4808 TEXTILE RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481979030",
"telephone_number": "517-285-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKTON",
"first_name": "TERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362009435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.