Center for Creative Living, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CENTER FOR CREATIVE LIVING, INC

Practice address

2011 Crooks Rd
Royal Oak, MI 48073-4049

Phone

(248) 414-4050

Fax

(248) 414-4053

NPI assigned

Mar 30, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Lyssa Anne Wingfield

Title

Office Manger

Phone

(248) 414-4050

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1437391950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734049",
            "telephone_number": "248-414-4050",
            "fax_number": "248-414-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734049",
            "telephone_number": "248-414-4050",
            "fax_number": "248-414-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CREATIVE LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "WINGFIELD",
        "authorized_official_first_name": "LYSSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "248-414-4050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Cavalcante de Vasconcelos Lima, MD
• Lauren Elise Cavallaro, RN, MSN, FNP-BC
• Cedar Medical Services PC
• Cedar Medical Services PC
• Cee Cees Counseling Service
• Center for Hematology & Oncology Care
• Center for Integrated Health and Well-Being, P.C.
• Center for Occupational & Environmental Medicine P C
• Center for Positive Change
• Christine Charity Center, RT (R) (CT)

• Clinical Psychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.