Active NPI
Cynthia Ann Palmer-Hughes, PHD
- Clinical Psychologist
- Grosse Pointe Park, MI
National Provider Identifier
1356482319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008858
- Practice address
- 15450 E Jefferson Ave Ste 120
Grosse Pointe Park, MI 48230-2028 - Phone
- (313) 824-7102
- NPI assigned
- Feb 10, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301008858 | MI | Primary |
Addresses
Primary practice location
15450 E Jefferson Ave Ste 120
Grosse Pointe Park, MI 48230-2028
Mailing address
15450 E Jefferson Ave Ste 120
Grosse Pointe Park, MI 48230-2028
Phone (313) 824-7102
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008858 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356482319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15450 E JEFFERSON AVE STE 120",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482302028",
"telephone_number": "313-824-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15450 E JEFFERSON AVE STE 120",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482302028",
"telephone_number": "313-824-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER-HUGHES",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Park, 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.