Active NPI
Julie Manning, PSY MALLP
- Psychologist
- Bloomfield Hills, MI
National Provider Identifier
1346392677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- JM008332
- Practice address
- 6443 Inkster Rd
Ste 265
Bloomfield Hills, MI 48301-1318 - Phone
- (248) 515-2704
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | JM008332 | MI | Primary |
Addresses
Primary practice location
6443 Inkster Rd
Ste 265
Bloomfield Hills, MI 48301-1318
Mailing address
6443 Inkster Rd
Ste 265
Bloomfield Hills, MI 48301-1318
Phone (248) 515-2704
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 |
|---|---|---|---|
| JM008332 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346392677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6443 INKSTER RD",
"address_2": "STE 265",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483011318",
"telephone_number": "248-515-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6443 INKSTER RD",
"address_2": "STE 265",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483011318",
"telephone_number": "248-515-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JULIE",
"credential": "PSY MALLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "JM008332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.