Active NPI
Andrew Thomas Cappas, THD
- Clinical Psychologist
- Grosse Pointe, MI
National Provider Identifier
1265465736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0698
- Practice address
- 17854 Maumee Ave
Grosse Pointe, MI 48230 - Phone
- (313) 886-2580
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0698 | MI | Primary |
Addresses
Primary practice location
17854 Maumee Ave
Grosse Pointe, MI 48230
Mailing address
17854 Maumee Ave
Grosse Pointe, MI 48230
Phone (313) 886-2580
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0698 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1265465736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17854 MAUMEE AVE",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "48230",
"telephone_number": "313-886-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17854 MAUMEE AVE",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "48230",
"telephone_number": "313-886-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPAS",
"first_name": "ANDREW",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "THD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "0698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.