Organization Active NPI

Lynne G Tenbusch, PH D PC

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1467500678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301003134 Issued in MI
Legal business name
LYNNE G TENBUSCH, PH D PC
Practice address
2301 S Huron Pkwy
Ann Arbor, MI 48104-5133
Phone
(734) 973-3232
Fax
(734) 428-8659
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lynne Gertrude Tenbusch, PH.D.
Title
President
Phone
(734) 973-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301003134 MI Primary

Addresses

Primary practice location

2301 S Huron Pkwy
Ann Arbor, MI 48104-5133

Mailing address

2301 S Huron Pkwy
Ann Arbor, MI 48104-5133
Phone (734) 973-3232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467500678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045133",
            "telephone_number": "734-973-3232",
            "fax_number": "734-428-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045133",
            "telephone_number": "734-973-3232",
            "fax_number": "734-428-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE G TENBUSCH, PH D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENBUSCH",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "GERTRUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-973-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301003134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.