Huffman Psychology, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

HUFFMAN PSYCHOLOGY, PLLC

Practice address

4572 S Hagadorn Rd
Suite 2G
East Lansing, MI 48823-5385

Phone

(517) 337-9554

Fax

(517) 337-9545

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Tracy Freeze

Title

Consultant

Phone

(219) 926-8320

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Jennifer L. Huffman, PHD

  • Clinical Neuropsychologist
  • East Lansing, MI
  • NPI 1508819699
  Medicare reassignment NPD
• Natalie Moser, PHD

  • Psychologist
  • East Lansing, MI
  • NPI 1942524509
  NPD (past)
• Daniel Malcolm Spica, PH.D.

  • Clinical Neuropsychologist
  • Knoxville, TN
  • NPI 1326184383
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1528254729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 S HAGADORN RD",
            "address_2": "SUITE 2G",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235385",
            "telephone_number": "517-337-9554",
            "fax_number": "517-337-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 S HAGADORN RD",
            "address_2": "SUITE 2G",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235385",
            "telephone_number": "517-337-9554",
            "fax_number": "517-337-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUFFMAN PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "FREEZE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "219-926-8320"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "680C312320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCESS ALLIANCE OF MI",
            "identifier": "7771",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MICHIGAN",
            "identifier": "01006041",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPHN PHPMM TPA",
            "identifier": "200000006961",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary R. Hubbard, D.D.S.
• Suzanne Hubbard
• Lydia A Huber, P.A.
• Sydney Hudson
• William Clifford Huettner, MD
• Jennifer L. Huffman, PHD
• Taylor Hughes, PSY. D.
• Janice Huhn, LMSW
• Kimberly Denise Huhn, PA-C
• Mark Edward Hulbert, M.A.C.P., L.L.P

• Clinical Neuropsychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.

Verify at the official NPI Registry.