David H Waxer, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361004793 Issued in MI

Practice address

20300 Civic Center Dr
Ste 303 Northland Clinic
Southfield, MI 48076

Phone

(248) 559-8190

Fax

(248) 559-8776

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1326267121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210550",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483210550",
            "telephone_number": "800-693-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 CIVIC CENTER DR",
            "address_2": "STE 303 NORTHLAND CLINIC",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-559-8190",
            "fax_number": "248-559-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXER",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "4101006301",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361004793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Watson, RN
• Lindsay Erin Watson, PT
• Randee Miller Watson, M.D.
• Laurie Watt, PA
• Watts Primary Care, PSC
• Laura Wayburn, CCC-SLP
• Wayne Medical Equipment Inc
• Jasmine Wayne
• Kayla Michelle Wayntraub
• Zubair Khan Wazir, P.T.

• Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.