Psychological Institutes of Michigan, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301011628 Issued in MI

Legal business name

PSYCHOLOGICAL INSTITUTES OF MICHIGAN, P.C.

Practice address

7457 Franklin Road
Suite 210
Bloomfield TWP, MI 48301

Phone

(248) 626-4622

Fax

(248) 626-2908

NPI assigned

Dec 6, 2012

Organization subpart

Yes

Parent organization

PSYCHOLOGICAL INSTITUTES OF MICHIGAN, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Robert E Erard, PH.D.

Title

President

Phone

(248) 626-4622

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Psychological Institutes of Michigan, P.C.

  • Clinical Psychologist
  • Bloomfield TWP, MI
  • NPI 1447300694

  O20040604000905

  Same enrollment

Tax ID family

Psychological Institutes of Michigan PC2 organizations share this tax ID, including this one

Part of

Psychological Institutes of Michigan PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Psychological Institutes of Michigan, P.C.

  • Clinical Psychologist
  • Bloomfield TWP, MI
  • NPI 1447300694
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Psychological Institutes of Michigan, P.C.

  • Clinical Psychologist
  • Bloomfield TWP, MI
  • NPI 1447300694
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick Joseph Marshall III, PH.D.

  • Clinical Psychologist
  • Farmington Hills, MI
  • NPI 1467502161
  Medicare reassignment NPD
• Linda Sircus, PHD

  • Psychologist
  • Franklin, MI
  • NPI 1295883346
  Medicare reassignment NPD
• Larry Mark Friedberg, PH.D.

  • Clinical Psychologist
  • Bingham Farms, MI
  • NPI 1053486142
  NPD (past)
• William J Rowell, PH.D.

  • Psychologist
  • Muskegon, MI
  • NPI 1720092059
  NPD (past)
• Lisa Rachael Yufit, PH.D.

  • Clinical Psychologist
  • Franklin, MI
  • NPI 1740334861
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1609111350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 FRANKLIN ROAD",
            "address_2": "SUITE 210",
            "city": "BLOOMFIELD TWP",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-626-4622",
            "fax_number": "248-626-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 FRANKLIN ROAD",
            "address_2": "SUITE 210",
            "city": "BLOOMFIELD TWP",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-626-4622",
            "fax_number": "248-626-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL INSTITUTES OF MICHIGAN, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHOLOGICAL INSTITUTES OF MICHIGAN, P.C.",
        "enumeration_date": "2012-12-06",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "ERARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-626-4622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011628",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704102153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447300694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Ford Health System
• Leah Klein, MA
• Outest Medical
• Frances Patricia Poma Nowinski, OD
• Psychological Institutes of Michigan, P.C.
• Diane Roeder, MA
• Lloyd I Snider, OD
• Vision Development Center LLC

• Clinical Psychologist in Bloomfield TWP, MI
• Providers in Bloomfield TWP, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.