Active NPI
Bart Anthony, MA.LLP.
- Clinical Psychologist
- Farmington Hills, MI
National Provider Identifier
1467527127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301011486
- Practice address
- 29830 W 12 Mile Rd
Suite 303
Farmington Hills, MI 48334-4030 - Phone
- (810) 333-2274
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301011486 | MI | Primary |
Addresses
Primary practice location
29830 W 12 Mile Rd
Suite 303
Farmington Hills, MI 48334-4030
Mailing address
29830 W 12 Mile Rd
Suite 303
Farmington Hills, MI 48334-4030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011486 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bart Anthony PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1467527127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29830 W 12 MILE RD",
"address_2": "SUITE 303",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483344030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29830 W 12 MILE RD",
"address_2": "SUITE 303",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483344030",
"telephone_number": "810-333-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "BART",
"credential": "MA.LLP.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301011486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.