Organization Active NPI

Aloe Integrative Psychology Group, PLLC

Doing business as Aloe Integrative Psychology Group

  • Clinical Psychologist
  • Rochester Hills, MI
National Provider Identifier
1548720469
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ALOE INTEGRATIVE PSYCHOLOGY GROUP, PLLC
Doing business as
Aloe Integrative Psychology Group
Practice address
2490 Walton Blvd Ste 205
Rochester Hills, MI 48309-1484
Phone
(248) 218-0622
Fax
(248) 218-0612
NPI assigned
Mar 25, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Dr. Nicole Marie-Budry Law, PSYD, LPNPI 1043610314
Title
Owner
Phone
(248) 218-0588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2490 Walton Blvd Ste 205
Rochester Hills, MI 48309-1484

Mailing address

2490 Walton Blvd Ste 205
Rochester Hills, MI 48309-1484
Phone (248) 218-0622

Other names 1

  • Aloe Integrative Psychology Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191028002118 MI Part B Supplier - Clinic/Group Practice 4880926658 Receives reassigned benefits from 4 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

2490 Walton Blvd
Ste 201
Rochester Hills, MI 48309
Phone (248) 218-0622

2490 Walton Blvd
Ste 205
Rochester Hills, MI 48309
Phone (248) 218-0588

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1548720469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091484",
            "telephone_number": "248-218-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD STE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091484",
            "telephone_number": "248-218-0622",
            "fax_number": "248-218-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOE INTEGRATIVE PSYCHOLOGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE-BUDRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-218-0588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloe Integrative Psychology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.