Organization Active NPI

Fair Minded Solutions LLC

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1295295475
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Jul 21, 2023

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.