Carrie Ann-Fling Nantais, PH.D., M.DIV.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017278 Issued in MI

Practice address

777 Livernois St
Ferndale, MI 48220-2306

Phone

(248) 770-6339

NPI assigned

Oct 25, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 360 Psychotherapy and Consulting PLLC

  • Clinical Psychologist
  • Ferndale, MI
  • NPI 1255953162
  NPD Authorized official
• The Mel Bornstein Clinic for Psychoanalysis and Psychotherapy

  dba Mel Bornstein Clinic for Psychoanalysis and Psychotherapy

  • Multi-Specialty Clinic/Center
  • Farmington Hills, MI
  • NPI 1023546389
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609388040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 AVERY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082068",
            "telephone_number": "248-770-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 LIVERNOIS ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202306",
            "telephone_number": "248-770-6339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32841 Middlebelt Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483341771",
            "country_code": "US",
            "telephone_number": "248-851-7739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANTAIS",
        "first_name": "CARRIE",
        "middle_name": "ANN-FLING",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.DIV.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Andrea Munoz, MD
• Katie Ryan Myers, LLMSW
• Bilal Nahle
• Greg S Naman, MD
• Ted Robert Naman, MD
• Angela Nappo
• Natalie Lafehr Consulting PLLC
• Natures Playhouse Ferndale LLC
• Jami Neuens, CRNA
• Neurodiagnostics LLC

• Clinical Psychologist in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.