Individual provider Active NPI

Christine Denise Liff, PH.D.

  • Clinical Neuropsychologist
  • Saint Clair Shores, MI
National Provider Identifier
1467489773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301012818 Issued in MI
Practice address
19699 E 8 Mile Rd
Saint Clair Shores, MI 48080-1655
Phone
(586) 445-9900
Fax
(586) 776-4324
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301012818 MI Primary

Addresses

Primary practice location

19699 E 8 Mile Rd
Saint Clair Shores, MI 48080-1655

Mailing address

19699 E 8 Mile Rd
Saint Clair Shores, MI 48080-1655
Phone (586) 445-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000405 MI Practitioner - Clinical Psychologist 0547273856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Neurology Associates PCGroup PAC ID 8628987468, 18 clinicians

Practice addresses (Care Compare)

19699 E 8 Mile Rd
Saint Clair Shores, MI 48080-1655
Phone (586) 445-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301012818MIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neurology Associates, P.C. CurrentSince Jul 1, 2006 Accepting new patients
Michigan Neurology Associates PC CurrentSince Jul 1, 2006 Accepting new patients

Locations

34025 Harper Ave
Clinton Twp, MI 48035
Phone (586) 445-9900

19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900

Interoperability endpoints

  • Direct secure messaging: michiganneurologyassociates.christineliff@158246.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467489773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19699 E 8 MILE RD",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801655",
            "telephone_number": "586-445-9900",
            "fax_number": "586-776-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19699 E 8 MILE RD",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801655",
            "telephone_number": "586-445-9900",
            "fax_number": "586-776-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFF",
        "first_name": "CHRISTINE",
        "middle_name": "DENISE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301012818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.