Cheryl Lewis, PH.D., LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301011383 Issued in MI

Practice address

38800 Garfield Rd Ste 100
Clinton Township, MI 48038-6619

Phone

(586) 231-0306

Fax

(586) 231-0307

NPI assigned

Sep 21, 2007

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Professional Services

  • Clinical Psychologist
  • Clinton Township, MI
  • NPI 1518329671
  Authorized official Same address or phone

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1568658623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38800 GARFIELD RD STE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386619",
            "telephone_number": "586-231-0306",
            "fax_number": "586-231-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38800 GARFIELD RD STE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386619",
            "telephone_number": "586-231-0306",
            "fax_number": "586-231-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 S Linden Rd Ste D118",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485325481",
            "country_code": "US",
            "telephone_number": "810-820-6656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "PH.D., LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BSM",
            "identifier": "P1-0-89-1076-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Livia Letarte-Popovich, OTR
• Vivian Leung, PHARMD
• Brigid Levigne
• Ronald Bruce Levin, M.D.
• Shannon Melissa Lewis-Hillstrom
• De'Jah Amyre Lewis
• Kaylon Laverne Lewis
• Laneisha Lanae Lewis, LLBSW
• Lindsey Ellen Lewis, LLPC
• Lynn Marie Lewis, MS, LPC

• Psychologist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.