Patricia M. Moylan PHD PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301006253 Issued in MI

Legal business name

PATRICIA M. MOYLAN PHD PLLC

Practice address

28595 Orchard Lake Rd
Ste. 125
Farmington Hills, MI 48334-2977

Phone

(248) 553-2558

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patricia M Moylan, PHD

Title

Single Member PLLC

Phone

(248) 553-2558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295814200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD",
            "address_2": "STE. 125",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342977",
            "telephone_number": "248-553-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD",
            "address_2": "STE. 125",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342977",
            "telephone_number": "248-553-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M. MOYLAN PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOYLAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SINGLE MEMBER PLLC",
        "authorized_official_telephone_number": "248-553-2558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301006253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Patino
• Alexis Patmon
• Abigail Patnaude
• Hailey Patraw
• Yalanda Patria, LCMT
• Hannah Patrick-Vest
• Brandy Patrick
• Kolawole Patrick
• Leah Patrick
• Maicee Patrick

• Clinical Neuropsychologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.