Active NPI
Lucinda Orwoll
- Psychologist
- West Bloomfield, MI
National Provider Identifier
1376564591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301009818
- Practice address
- 6022 W Maple Rd Ste 408
West Bloomfield, MI 48322-4408 - Phone
- (734) 945-3024
- NPI assigned
- Jul 22, 2006
- 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 | 6301009818 | MI | Primary |
Addresses
Primary practice location
6022 W Maple Rd Ste 408
West Bloomfield, MI 48322-4408
Mailing address
1596 Kirtland Dr
Ann Arbor, MI 48103-5724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081201000580 | MI | Practitioner - Clinical Psychologist | 5799846309 | Practice locations: Ann Arbor, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
220 Collingwood St
Suite 240
Ann Arbor, MI 48103-3842
Phone (734) 945-3024
4011 Woodland Dr
Ann Arbor, MI 48103-9440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376564591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1596 KIRTLAND DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481035724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6022 W MAPLE RD STE 408",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224408",
"telephone_number": "734-945-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORWOLL",
"first_name": "LUCINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301009818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.