NPIMap

Organization Active NPI

Michael Czarnota, PH.D., P.L.L.C.

  • Clinical Neuropsychologist
  • Farmington Hills, MI
National Provider Identifier
1629379094
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301009072 Issued in MI
Legal business name
MICHAEL CZARNOTA, PH.D., P.L.L.C.
Practice address
30055 Northwestern Hwy Ste 30
Farmington Hills, MI 48334-3230
Phone
(248) 253-8208
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Michael Czarnota, PH.D.
Title
Consulting Neuropsychologist
Phone
(248) 253-8208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 6301009072 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste 30
Farmington Hills, MI 48334-3230

Mailing address

PO Box 156
Northville, MI 48167-0156

National Provider Directory

National Provider Directory

Locations

114 Rayson St
Northville, MI 48167
Phone (248) 253-8208

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1629379094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481670156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 30",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343230",
            "telephone_number": "248-253-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CZARNOTA, PH.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "CZARNOTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CONSULTING NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "248-253-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301009072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.