Plymouth Psychological Assessments PLLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301006232 Issued in MI

Legal business name

PLYMOUTH PSYCHOLOGICAL ASSESSMENTS PLLC

Practice address

1308 S Main St
Plymouth, MI 48170-2253

Phone

(734) 451-3440

Fax

(734) 451-8720

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Karen Maier

Title

Ceo

Phone

(734) 451-3440

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1386940583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702253",
            "telephone_number": "734-451-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702253",
            "telephone_number": "734-451-3440",
            "fax_number": "734-451-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH PSYCHOLOGICAL ASSESSMENTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "MAIER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-451-3440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006232",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301006232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.