Individual provider Active NPI

Robert. Stephen Pasick, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1326218538
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301002162 Issued in MI
Practice address
2635 Powell Ave
Ann Arbor, MI 48104-6469
Phone
(734) 730-1765
Fax
(734) 973-2200
NPI assigned
Mar 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301002162 MI Primary

Addresses

Primary practice location

2635 Powell Ave
Ann Arbor, MI 48104-6469

Mailing address

2635 Powell Ave
Ann Arbor, MI 48104-6469
Phone (734) 730-1765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1326218538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 POWELL AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046469",
            "telephone_number": "734-730-1765",
            "fax_number": "734-973-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 POWELL AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046469",
            "telephone_number": "734-730-1765",
            "fax_number": "734-973-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASICK",
        "first_name": "ROBERT.",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.