Ambersource, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301014966 Issued in MI

Legal business name

AMBERSOURCE, PLLC

Practice address

60 Division St Ste B
Manistee, MI 49660-2720

Phone

(989) 529-3964

Fax

(231) 723-5879

NPI assigned

Jul 15, 2016

Last updated

Jul 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Laura Jane C. Murphy, PSY.D.NPI 1295944486

Title

Owner/Psychologist

Phone

(989) 529-3964

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Laura-Jane C. Murphy, PSY.D.

  • Clinical Psychologist
  • Manistee, MI
  • NPI 1295944486
  NPD Authorized official

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1588017461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DIVISION ST STE B",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602720",
            "telephone_number": "989-529-3964",
            "fax_number": "231-723-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DIVISION ST STE B",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602720",
            "telephone_number": "989-529-3964",
            "fax_number": "231-723-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERSOURCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "LAURA JANE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "989-529-3964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Abrahamson, NP
• April M Adams
• Brian A Allen, O.D.
• Mary Allen, MLSW
• Emily Alpers
• Amy L Beeman DO PLLC
• Kimberly S. Anderson, D.C.
• Melda Louise Anderson, RN
• Mitchell David Anderson, PT, DPT
• Paul D Anderson, PHARMACIST

• Psychologist in Manistee, MI
• Providers in Manistee, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.