Organization Active NPI

Uniquely Autistic

  • Clinical Child & Adolescent Psychologist
  • Roseville, MI
National Provider Identifier
1265322465
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
UNIQUELY AUTISTIC
Practice address
27871 Oneil St
Roseville, MI 48066-3022
Phone
(586) 696-3711
NPI assigned
Jul 8, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Cynthia Foster, CMA
Title
Owner
Phone
(586) 696-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

27871 Oneil St
Roseville, MI 48066-3022

Mailing address

27871 Oneil St
Roseville, MI 48066-3022
Phone (586) 696-3711

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL n/a Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1265322465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 ONEIL ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663022",
            "telephone_number": "586-696-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 ONEIL ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663022",
            "telephone_number": "586-696-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUELY AUTISTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-696-3711",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "to receive and send phi info",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27871 ONeil St",
            "city": "Roseville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480663022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.