Organization Active NPI

Amy K Pruneau LLC

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1316560303
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
AMY K PRUNEAU LLC
Practice address
26755 Middlebelt Rd Ste 140
Farmington Hills, MI 48334
Phone
(248) 821-6485
NPI assigned
May 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Authorized official

Name
Dr. Amy Kathleen Pruneau, PSYD
Title
Psychologist
Phone
(248) 821-6485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

26755 Middlebelt Rd Ste 140
Farmington Hills, MI 48334

Mailing address

27655 Middlebelt Rd Ste 140
Farmington Hills, MI 48334-5029
Phone (248) 821-6485

National Provider Directory

National Provider Directory

Locations

27655 Middlebelt Rd
Ste 140
Farmington Hills, MI 48334
Phone (248) 444-6978

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1316560303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27655 MIDDLEBELT RD STE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345029",
            "telephone_number": "248-821-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26755 MIDDLEBELT RD STE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-821-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY K PRUNEAU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "PRUNEAU",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-821-6485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "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 May 26, 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.