Organization Active NPI

Micki R Wierman PHD PLLC

  • Psychologist
  • Howell, MI
National Provider Identifier
1356940969
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MICKI R WIERMAN PHD PLLC
Practice address
102 N Michigan Ave
Howell, MI 48843-2202
Phone
(248) 531-8381
NPI assigned
Oct 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Micki WiermanNPI 1265661581
Title
Owner
Phone
(248) 531-8381

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

102 N Michigan Ave
Howell, MI 48843-2202

Mailing address

102 N Michigan Ave
Howell, MI 48843-2202
Phone (248) 531-8381

National Provider Directory

National Provider Directory

Locations

325 S Michigan Ave
#440
Howell, MI 48843

102 N Michigan Ave
Howell, MI 48843
Phone (248) 531-8381

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": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1356940969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N MICHIGAN AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432202",
            "telephone_number": "248-531-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MICHIGAN AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432202",
            "telephone_number": "248-531-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKI R WIERMAN PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "WIERMAN",
        "authorized_official_first_name": "MICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-531-8381"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.