Organization Active NPI

Stonetree Wellness Center LLC

  • Clinical Psychologist
  • Waterford, MI
National Provider Identifier
1396430955
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Rhonda MyersNPI 1326596222
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.