Richard Birnbaum, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301018877 Issued in MI

Practice address

1540 East Medical Center Drive
Level 5
Ann Arbor, MI 48109-5318

Phone

(734) 936-4220

Fax

(734) 936-6897

NPI assigned

Aug 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1609540657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 EAST MEDICAL CENTER DRIVE",
            "address_2": "LEVEL 5",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095318",
            "telephone_number": "734-936-4220",
            "fax_number": "734-936-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 EAST MEDICAL CENTER DRIVE",
            "address_2": "LEVEL 5",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095318",
            "telephone_number": "734-936-4220",
            "fax_number": "734-936-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNBAUM",
        "first_name": "RICHARD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Records System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1540 East Medical Center Drive",
            "address_2": "Level 5",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481095318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashta Narain Birgy, MD
• Anne Biris, LAC
• Katherine Birk, LPC
• Andrea Birkhofer
• Christine Birmingham
• Lindsey Marie Birrell, LLMSW, SSW
• Birth and Family Wellness
• Stefanie Bisesi
• Elizabeth Shreve Bishop, PH.D.
• Jack Bishop

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.