Active NPI
Stonetree Wellness Center LLC
- Clinical Psychologist
- Waterford, MI
National Provider Identifier
1396430955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- STONETREE WELLNESS CENTER LLC
- Practice address
- 5619 Highland Rd
Waterford, MI 48327-1927 - Phone
- (248) 828-6260
- NPI assigned
- Apr 10, 2023
- Last updated
- May 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhonda Myers
- Title
- Owner
- Phone
- (248) 828-6260
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
5619 Highland Rd
Waterford, MI 48327-1927
Mailing address
5619 Highland Rd
Waterford, MI 48327-1927
Phone (248) 828-6260
National Provider Directory
National Provider DirectoryLocations
5619 Highland Rd
Waterford, MI 48327
Phone (248) 828-6260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1396430955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5619 HIGHLAND RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271927",
"telephone_number": "248-828-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5619 HIGHLAND RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271927",
"telephone_number": "248-828-6260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONETREE WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-10",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-828-6260"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.