Robert a Cornette PH D P C

Primary specialty

PsychologistTaxonomy code 103T00000X

License

RC000724 Issued in MI

Legal business name

ROBERT A CORNETTE PH D P C

Practice address

29260 Franklin Road
Suite 101
Southfield, MI 48034-1182

Phone

(248) 569-5268

Fax

(248) 569-1291

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Allan Cornette, PH D

Title

Officer

Phone

(248) 569-5268

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1609042282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29260 FRANKLIN RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341161",
            "telephone_number": "248-569-5268",
            "fax_number": "248-569-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29260 FRANKLIN ROAD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341182",
            "telephone_number": "248-569-5268",
            "fax_number": "248-569-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A CORNETTE PH D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "CORNETTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "248-569-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "RC000724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "680F349690",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.