Active NPI
Full Circle Behavioral Services, PC
- Cognitive & Behavioral Psychologist
- West Bloomfield, MI
National Provider Identifier
1326357476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 6301011714
- Legal business name
- FULL CIRCLE BEHAVIORAL SERVICES, PC
- Doing business as
- Full Circle Wellness
- Practice address
- 5600 W Maple Rd Ste A110
West Bloomfield, MI 48322-3705 - Phone
- (248) 722-2653
- Fax
- (248) 855-4840
- NPI assigned
- Oct 6, 2010
- Organization subpart
- Yes
- Parent organization
- FULL CIRCLE BEHAVIORAL HEALTH, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Little, MA, LLP
- Title
- President
- Phone
- (248) 722-2653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 6301011714 | MI | Primary |
Addresses
Primary practice location
5600 W Maple Rd Ste A110
West Bloomfield, MI 48322-3705
Mailing address
5600 W Maple Rd Ste A110
West Bloomfield, MI 48322-3705
Phone (248) 722-2653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI-3622 | Other | MI | MEDICARE PART B NUMBER |
Other names 1
- Full Circle Wellness
National Provider Directory
National Provider Directory- Part of
- Full Circle Psychological Services PC
Locations
5600 W Maple Rd
Ste A110
West Bloomfield, MI 48322
Phone (248) 722-2653
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Counselor
- Keego Harbor, MI
- NPI 1043731573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306972800000",
"number": "1326357476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 W MAPLE RD STE A110",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223705",
"telephone_number": "248-722-2653",
"fax_number": "248-855-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 W MAPLE RD STE A110",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223705",
"telephone_number": "248-722-2653",
"fax_number": "248-855-4840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE BEHAVIORAL SERVICES, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FULL CIRCLE BEHAVIORAL HEALTH, PC",
"enumeration_date": "2010-10-06",
"last_updated": "2011-06-02",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-722-2653",
"authorized_official_credential": "MA, LLP"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MI",
"license": "6301011714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B NUMBER",
"identifier": "MI-3622",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Full Circle Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.