Integrated Mental Health Professionals, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INTEGRATED MENTAL HEALTH PROFESSIONALS, PLLC

Practice address

3477 Fox Woods CT
West Bloomfield, MI 48324-3266

Phone

(248) 410-4793

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Victoria, PHD

Title

Psychologist

Phone

(248) 410-4793

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1487412490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252563",
            "address_2": "6725 DALY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483228777",
            "telephone_number": "248-410-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 FOX WOODS CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483243266",
            "telephone_number": "248-410-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MENTAL HEALTH PROFESSIONALS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "VICTORIA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-410-4793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.