Active NPI
Deetra Amhowitz, MA, TLLP
- Clinical Psychologist
- Bloomfield Hills, MI
National Provider Identifier
1497762512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301013011
- Practice address
- 43996 Woodward Ave Ste 101
Bloomfield Hills, MI 48302-5028 - Phone
- (248) 338-2988
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 6301013011 | MI | Primary |
Addresses
Primary practice location
43996 Woodward Ave Ste 101
Bloomfield Hills, MI 48302-5028
Mailing address
43996 Woodward Ave Ste 101
Bloomfield Hills, MI 48302-5028
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013011 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497762512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43996 WOODWARD AVE STE 101",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43996 WOODWARD AVE STE 101",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025028",
"telephone_number": "248-338-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMHOWITZ",
"first_name": "DEETRA",
"credential": "MA, TLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301013011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.