Individual provider Active NPI

Anne Marie Caldwell, MS, LLP

  • Psychologist
  • Plymouth, MI
National Provider Identifier
1508984048
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361001920 Issued in MI
Practice address
409 Plymouth Rd Ste 270
Plymouth, MI 48170-1842
Phone
(484) 445-4792
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361001920 MI Primary

Addresses

Primary practice location

409 Plymouth Rd Ste 270
Plymouth, MI 48170-1842

Mailing address

409 Plymouth Rd Ste 270
Plymouth, MI 48170-1842
Phone (248) 444-5479

Other names 1

  • Anne Marie Allen Former name

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 Science

State licenses

LicenseStateTypeSpecialty
6361001920MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Banyan Psychologist Current Accepting new patients

Locations

409 Plymouth Rd
Ste 270
Plymouth, MI 48170
Phone (248) 390-0560

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1508984048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 270",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701842",
            "telephone_number": "248-444-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 270",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701842",
            "telephone_number": "484-445-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ANNE MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361001920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE MARIE",
            "last_name": "ALLEN",
            "credential": "MS, LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.