Active NPI
Elena Brand, PH.D., P.L.L.C.
- Clinical Psychologist
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008683
- Legal business name
- ELENA BRAND, PH.D., P.L.L.C.
- Practice address
- 36510 W 12 Mile Rd
Farmington Hills, MI 48331-3169 - Phone
- (248) 553-8220
- Fax
- (248) 553-8290
- NPI assigned
- Jul 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elena Brand, PHD
- Title
- Owner
- Phone
- (248) 553-8220
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301008683 | MI | Primary |
Addresses
Primary practice location
36510 W 12 Mile Rd
Farmington Hills, MI 48331-3169
Mailing address
36510 W 12 Mile Rd
Farmington Hills, MI 48331-3169
Phone (248) 553-8220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680F328500 | Other | MI | BLUE CROSS BLUE SHIELD OF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
36510 W 12 Mile Rd
Farmington Hills, MI 48331
Phone (248) 254-3686
31330 Northwestern Hwy
Ste A
Farmington Hills, MI 48334
Phone (248) 553-8220
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Farmington Hills, MI
- NPI 1194767848
-
- Marriage & Family Therapist
- Farmington Hills, MI
- NPI 1255540373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1285833293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36510 W 12 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483313169",
"telephone_number": "248-553-8220",
"fax_number": "248-553-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36510 W 12 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483313169",
"telephone_number": "248-553-8220",
"fax_number": "248-553-8290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELENA BRAND, PH.D., P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "BRAND",
"authorized_official_first_name": "ELENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-553-8220",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "680F328500",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.