Organization Active NPI

Self and Family Enterprises L L C

  • Clinical Psychologist
  • Newport, MI
National Provider Identifier
1497932800
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SELF AND FAMILY ENTERPRISES L L C
Practice address
7521 N Telegraph Rd
Suite 1
Newport, MI 48166-9398
Phone
(734) 586-0031
Fax
(734) 586-0032
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Ralph Lowe Hutchison, PHD
Title
Owner
Phone
(734) 586-0031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X MI Primary

Addresses

Primary practice location

7521 N Telegraph Rd
Suite 1
Newport, MI 48166-9398

Mailing address

7521 N Telegraph Rd
Suite 1
Newport, MI 48166-9398
Phone (734) 586-0031

Other names 1

  • Self and Family Behavioral Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

7521 N Telegraph Rd
Ste 1
Newport, MI 48166
Phone (734) 586-0031

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1497932800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 N TELEGRAPH RD",
            "address_2": "SUITE 1",
            "city": "NEWPORT",
            "state": "MI",
            "postal_code": "481669398",
            "telephone_number": "734-586-0031",
            "fax_number": "734-586-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 N TELEGRAPH RD",
            "address_2": "SUITE 1",
            "city": "NEWPORT",
            "state": "MI",
            "postal_code": "481669398",
            "telephone_number": "734-586-0031",
            "fax_number": "734-586-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF AND FAMILY ENTERPRISES L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "LOWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-586-0031",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self and Family Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.