Organization Active NPI

Michigan Center for Neuropsychology

  • Clinical Neuropsychologist
  • Taylor, MI
National Provider Identifier
1447822135
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
MICHIGAN CENTER FOR NEUROPSYCHOLOGY
Practice address
11368 Allen Rd
Taylor, MI 48180-4372
Phone
(313) 283-6056
Fax
(248) 694-2022
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Ramzi Hasson, PHDNPI 1235655614
Title
Executive Director
Phone
(313) 283-6056

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary
Clinic/Center 261Q00000X NU

Addresses

Primary practice location

11368 Allen Rd
Taylor, MI 48180-4372

Mailing address

11368 Allen Rd
Taylor, MI 48180-4372
Phone (313) 283-6056

National Provider Directory

National Provider Directory

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": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1447822135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11368 ALLEN RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804372",
            "telephone_number": "313-283-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11368 ALLEN RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804372",
            "telephone_number": "313-283-6056",
            "fax_number": "248-694-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CENTER FOR NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "HASSON",
        "authorized_official_first_name": "RAMZI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-283-6056",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.