Organization Active NPI

Nancy C Liebler PHD

  • Clinical Psychologist
  • Birmingham, MI
National Provider Identifier
1568005353
Registry record updated Dec 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NANCY C LIEBLER PHD
Practice address
280 Harmon St Apt 290
Birmingham, MI 48009-1367
Phone
(248) 840-0519
Fax
(248) 569-9410
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2023

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

Authorized official

Name
Dr. Nancy C Liebler, PHD
Title
Owner
Phone
(248) 840-0519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

280 Harmon St Apt 290
Birmingham, MI 48009-1367

Mailing address

280 Harmon St Apt 290
Birmingham, MI 48009-1367
Phone (248) 840-0519

Other practice location 1

465 Lone Pine Ct
Bloomfield Hills, MI 48304-3432
Phone (248) 840-0519

Other practice location 2

295 Elm St
Birmingham, MI 48009-6344
Phone (248) 840-0519

National Provider Directory

National Provider Directory

Locations

295 Elm St
Birmingham, MI 48009
Phone (248) 645-5055

Practitioners & affiliated clinicians

Practitioners 1

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": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703289600000",
    "number": "1568005353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HARMON ST APT 290",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091367",
            "telephone_number": "248-840-0519",
            "fax_number": "248-569-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HARMON ST APT 290",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091367",
            "telephone_number": "248-840-0519",
            "fax_number": "248-569-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Lone Pine Ct",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483043432",
            "country_code": "US",
            "telephone_number": "248-840-0519",
            "fax_number": "248-569-9410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Elm St",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "MI",
            "postal_code": "480096344",
            "country_code": "US",
            "telephone_number": "248-840-0519",
            "fax_number": "248-569-9410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NANCY C LIEBLER PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A",
        "authorized_official_last_name": "LIEBLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-840-0519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; 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.