Active NPI
Donald Jay Magder, MA, LLP
- Clinical Psychologist
- Southfield, MI
National Provider Identifier
1578748265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301013393
- Practice address
- 29877 Telegraph Rd Ste 107
Southfield, MI 48034-7658 - Phone
- (248) 703-6943
- NPI assigned
- Jan 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301013393 | MI | Primary |
Addresses
Primary practice location
29877 Telegraph Rd Ste 107
Southfield, MI 48034-7658
Mailing address
16000 W 9 Mile Rd
Southfield, MI 48075-4808
Phone (248) 703-6943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013393 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1578748265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754808",
"telephone_number": "248-703-6943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD STE 107",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347658",
"telephone_number": "248-703-6943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGDER",
"first_name": "DONALD",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "MA, LLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-01",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301013393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.