Active NPI
Ronald Frank Lewis, PHD
- Psychologist
- Bingham Farms, MI
National Provider Identifier
1407034895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- L930686
- Practice address
- 32270 Telegraph
Suite 240 David Gurevich MD PC
Bingham Farms, MI 48025 - Phone
- (248) 835-6654
- Fax
- (248) 593-1711
- NPI assigned
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | L930686 | MI | |
| Psychologist | 103T00000X | L930686 | MI | Primary |
| Clinical Psychologist | 103TC0700X | L930686 | MI |
Addresses
Primary practice location
32270 Telegraph
Suite 240 David Gurevich MD PC
Bingham Farms, MI 48025
Mailing address
19933 Old Pond Court
Beverly Hills, MI 48025
Phone (248) 835-6654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L930686 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1407034895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19933 OLD POND COURT",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "48025",
"telephone_number": "248-835-6654",
"fax_number": "248-203-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32270 TELEGRAPH",
"address_2": "SUITE 240 DAVID GUREVICH MD PC",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "48025",
"telephone_number": "248-835-6654",
"fax_number": "248-593-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RONALD",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "L930686",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "L930686",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "L930686",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.