Active NPI
Adam Lafave, TLLP
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1356839351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301017416
- Practice address
- 3830 Packard St Ste 280
Ann Arbor, MI 48108-2276 - Phone
- (734) 224-2454
- NPI assigned
- Apr 25, 2018
- Sex
- Male
- 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 | 6301017416 | MI | Primary |
Addresses
Primary practice location
3830 Packard St Ste 280
Ann Arbor, MI 48108-2276
Mailing address
1169 Joyce LN
Ann Arbor, MI 48103-8869
Phone (616) 450-2563
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 |
|---|---|---|---|
| 6301017416 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1356839351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 JOYCE LN",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481038869",
"telephone_number": "616-450-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 PACKARD ST STE 280",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082276",
"telephone_number": "734-224-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFAVE",
"first_name": "ADAM",
"credential": "TLLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301017416",
"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 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.