Insight for Life, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4704254270 Issued in MI

Legal business name

INSIGHT FOR LIFE, LLC

Practice address

7255 Peachtree CT
Canton, MI 48187-1467

Phone

(734) 845-2151

Fax

(248) 544-9040

NPI assigned

Nov 28, 2012

Organization subpart

No

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

Authorized official

Name

Renee C Vives, NP

Title

Owner

Phone

(734) 845-2151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1407191620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 PEACHTREE CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871467",
            "telephone_number": "734-845-2151",
            "fax_number": "248-544-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 PEACHTREE CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871467",
            "telephone_number": "734-845-2151",
            "fax_number": "248-544-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "VIVES",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-845-2151",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "4704254270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Canton, MI
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• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.