Active NPI
Nancy Cullen Liebler, PHD
- Family Psychologist
- Birmingham, MI
National Provider Identifier
1639712920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 6301995515
- Practice address
- 280 Harmon St Apt 290
Birmingham, MI 48009-1367 - Phone
- (248) 840-0519
- Fax
- (248) 569-9410
- NPI assigned
- Oct 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 6301995515 | MI | Primary |
Addresses
Primary practice location
280 Harmon St Apt 290
Birmingham, MI 48009-1367
Mailing address
280 Harmon St Apt 290
Birmingham, MI 48009-1367
Phone (248) 840-0519
Other practice location 1
295 Elm St Ste 4
Birmingham, MI 48009-6344
Phone (248) 840-0519
Other practice location 2
465 Lone Pine Ct
Bloomfield Hills, MI 48304-3432
Phone (248) 840-0519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301995515 | MI | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hazel Karbel, PC | Single Specialty | Past | Accepting new patients |
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": "1571443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703289600000",
"number": "1639712920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 HARMON ST APT 290",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091367",
"telephone_number": "248-840-0519",
"fax_number": "248-569-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 HARMON ST APT 290",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091367",
"telephone_number": "248-840-0519",
"fax_number": "248-569-9410"
}
],
"practiceLocations": [
{
"address_1": "295 Elm St Ste 4",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "MI",
"postal_code": "480096344",
"country_code": "US",
"telephone_number": "248-840-0519",
"fax_number": "248-569-9410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "465 Lone Pine Ct",
"address_purpose": "LOCATION",
"city": "Bloomfield Hills",
"state": "MI",
"postal_code": "483043432",
"country_code": "US",
"telephone_number": "248-840-0519",
"fax_number": "248-569-9410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEBLER",
"first_name": "NANCY",
"middle_name": "CULLEN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-19",
"last_updated": "2023-12-23",
"certification_date": "2023-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "MI",
"license": "6301995515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.