NPIMap

Organization Active NPI

Pinnacle Rehabilitation Services, PLLC

  • Clinical Psychologist
  • Bingham Farms, MI
National Provider Identifier
1548426877
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301007666 Issued in MI
Legal business name
PINNACLE REHABILITATION SERVICES, PLLC
Practice address
30200 Telegraph Rd
Suite 207
Bingham Farms, MI 48025-4502
Phone
(248) 712-1126
Fax
(248) 792-3249
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dr. Ray Kamoo, PH.D.
Title
Owner
Phone
(248) 910-0914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301007666 MI Primary

Addresses

Primary practice location

30200 Telegraph Rd
Suite 207
Bingham Farms, MI 48025-4502

Mailing address

30200 Telegraph Rd
Suite 207
Bingham Farms, MI 48025-4502
Phone (248) 712-1126

National Provider Directory

National Provider Directory

Locations

30200 Telegraph Rd
Ste 207
Bingham Farms, MI 48025
Phone (218) 712-1129

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1548426877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-712-1126",
            "fax_number": "248-792-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "SUITE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-712-1126",
            "fax_number": "248-792-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE REHABILITATION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "KAMOO",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-910-0914",
        "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": "6301007666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.