Organization Active NPI

Transcendent Psychotherapy PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1346096153
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRANSCENDENT PSYCHOTHERAPY PLLC
Practice address
3830 Packard St Ste 250
Ann Arbor, MI 48108-2273
Phone
(517) 499-4512
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Nikki Penecale, LMSWNPI 1093306623
Title
Sole Member
Phone
(517) 499-4512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3830 Packard St Ste 250
Ann Arbor, MI 48108-2273

Mailing address

3830 Packard St Ste 250
Ann Arbor, MI 48108-2273
Phone (517) 499-4512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1346096153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082273",
            "telephone_number": "517-499-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082273",
            "telephone_number": "517-499-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDENT PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "PENECALE",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "517-499-4512",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Apr 24, 2024; 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.