Individual provider Active NPI

Aimee Tuck

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1629523634
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6361004212 Issued in MI
Practice address
3055 Plymouth Rd Ste 203
Ann Arbor, MI 48105-3208
Phone
(734) 997-5033
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6361004212 MI Primary

Addresses

Primary practice location

3055 Plymouth Rd Ste 203
Ann Arbor, MI 48105-3208

Mailing address

3055 Plymouth Rd Ste 203
Ann Arbor, MI 48105-3208

Other practice location 1

1900 Carlisle Ct
Ypsilanti, MI 48198-3579
Phone (734) 249-9297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6361004212MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Psychology Group Associates PLLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

3055 Plymouth Rd
Ste 203
Ann Arbor, MI 48105
Phone (734) 769-3896

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1629523634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 PLYMOUTH RD STE 203",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 PLYMOUTH RD STE 203",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053208",
            "telephone_number": "734-997-5033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Carlisle Ct",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481983579",
            "country_code": "US",
            "telephone_number": "734-249-9297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCK",
        "first_name": "AIMEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361004212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

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