Active NPI
Fair Minded Solutions LLC
- Clinical Psychologist
- Farmington Hills, MI
National Provider Identifier
1295295475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- FAIR MINDED SOLUTIONS LLC
- Practice address
- 30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144 - Phone
- (248) 802-7713
- NPI assigned
- Mar 22, 2019
- 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
- Mr. Kenneth Edward Gardner
- Title
- Psychologist
- Phone
- (248) 802-7713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144
Mailing address
9132 W Walden Dr
Van Buren TWP, MI 48111-2692
Phone (248) 802-7713
National Provider Directory
National Provider DirectoryLocations
32255 Northwestern Hwy
Ste 250
Farmington Hills, MI 48334
Phone (248) 459-9191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689897600000",
"number": "1295295475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9132 W WALDEN DR",
"city": "VAN BUREN TWP",
"state": "MI",
"postal_code": "481112692",
"telephone_number": "248-802-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30665 NORTHWESTERN HWY STE 255",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343144",
"telephone_number": "248-802-7713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIR MINDED SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-22",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "248-802-7713",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.