Rebecca Mair P C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008126 Issued in MI

Legal business name

REBECCA MAIR P C

Practice address

15450 E Jefferson Ave Ste 140
Grosse Pointe Park, MI 48230-2033

Phone

(313) 821-0098

Fax

(313) 884-9758

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Anne Mair, PH.D.

Title

Clinical Psychologist

Phone

(313) 821-0098

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1265734644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 E JEFFERSON AVE STE 140",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482302033",
            "telephone_number": "313-821-0098",
            "fax_number": "313-884-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 E JEFFERSON AVE STE 140",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482302033",
            "telephone_number": "313-821-0098",
            "fax_number": "313-884-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA MAIR P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "MAIR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "313-821-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.