Active NPI
Resources for Development PC
- Clinical Psychologist
- Royal Oak, MI
National Provider Identifier
1497048425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301005353
- Legal business name
- RESOURCES FOR DEVELOPMENT PC
- Practice address
- 905 S Center St
Royal Oak, MI 48067-3230 - Phone
- (248) 546-3304
- Fax
- (248) 546-3305
- NPI assigned
- May 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Margaret Stack, PH.D.
- Title
- President
- Phone
- (248) 546-3304
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301005353 | MI | Primary |
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
905 S Center St
Royal Oak, MI 48067-3230
Mailing address
905 S Center St
Royal Oak, MI 48067-3230
Phone (248) 546-3304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3315 N Campbell Rd
Royal Oak, MI 48073
Phone (248) 546-3304
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Ferndale, MI
- NPI 1447429261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1497048425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 S CENTER ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673230",
"telephone_number": "248-546-3304",
"fax_number": "248-546-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 S CENTER ST",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480673230",
"telephone_number": "248-546-3304",
"fax_number": "248-546-3305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESOURCES FOR DEVELOPMENT PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-24",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "STACK",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-546-3304",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301005353",
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.