Awakening Xperience Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

AWAKENING XPERIENCE PSYCHOLOGICAL SERVICES

Practice address

31042 Verona St
Farmington Hills, MI 48331-1459

Phone

(313) 221-4313

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Monique Camille TuckerNPI 1699293811

Title

Ceo

Phone

(313) 221-4313

Specialties & licenses 1

Addresses

Other names 1

• Awakening Xperience Psychological Services Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique Camille Tucker

  • Clinical Psychologist
  • Troy, MI
  • NPI 1699293811
  NPD Authorized official

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1295418960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31042 VERONA ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311459",
            "telephone_number": "313-221-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31042 VERONA ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311459",
            "telephone_number": "313-221-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING XPERIENCE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-221-4313"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awakening Xperience Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Awakening Xperience Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amira Awada
• Ghada Awada
• Ghinwa Awada
• Mahdi Awada
• Mona Awadalla
• Hajrah Awan
• Tariq M Awan, D.O.
• Sabrina Awawdeh
• Nicole Awe
• Victor Aweke

• Psychologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.