Active NPI
Rebecca Vlasic, MA LLP
- Psychologist
- Southfield, MI
National Provider Identifier
1588991251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301008441
- Practice address
- 20300 Civic Center Dr
Southfield, MI 48076-4105 - Phone
- (248) 559-8190
- Fax
- (248) 559-8776
- NPI assigned
- Nov 17, 2009
- Last updated
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301008441 | MI | Primary |
Addresses
Primary practice location
20300 Civic Center Dr
Southfield, MI 48076-4105
Mailing address
1870 Redding Rd
Birmingham, MI 48009-1054
Phone (248) 535-0345
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 |
|---|---|---|---|
| 6301008441 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1588991251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 REDDING RD",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091054",
"telephone_number": "248-535-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20300 CIVIC CENTER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480764105",
"telephone_number": "248-559-8190",
"fax_number": "248-559-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLASIC",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "MA LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301008441",
"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 Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.