Active NPI
Rachael Lauren Les
- Clinical Psychologist
- Birmingham, MI
National Provider Identifier
1336837632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6362009734
- Practice address
- 700 E Maple Rd
Birmingham, MI 48009-6357 - Phone
- (248) 792-1097
- NPI assigned
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6362009734 | MI | Primary |
Addresses
Primary practice location
700 E Maple Rd
Birmingham, MI 48009-6357
Mailing address
1294 S Creek Dr
Wixom, MI 48393-1678
Other practice location 1
120 W Main St
Northville, MI 48167-1586
Phone (248) 792-1097
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009734 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684627200000",
"number": "1336837632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1294 S CREEK DR",
"city": "WIXOM",
"state": "MI",
"postal_code": "483931678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MAPLE RD",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096357",
"telephone_number": "248-792-1097"
}
],
"practiceLocations": [
{
"address_1": "120 W Main St",
"address_purpose": "LOCATION",
"city": "Northville",
"state": "MI",
"postal_code": "481671586",
"country_code": "US",
"telephone_number": "248-792-1097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LES",
"first_name": "RACHAEL",
"middle_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2023-05-21",
"certification_date": "2023-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6362009734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.