Joseph Henry Walrad, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301005772 Issued in MI

Practice address

9845 Reeck Rd
Allen Park, MI 48101-1122

Phone

(313) 382-3080

Fax

(313) 382-9152

NPI assigned

Aug 7, 2006

Last updated

Jan 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1568471415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9845 REECK RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011122",
            "telephone_number": "313-382-3080",
            "fax_number": "313-382-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9845 REECK RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011122",
            "telephone_number": "313-382-3080",
            "fax_number": "313-382-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALRAD",
        "first_name": "JOSEPH",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301005772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.