Individual provider Active NPI

Nancy Cullen Liebler, PHD

  • Family Psychologist
  • Birmingham, MI
National Provider Identifier
1639712920
Registry record updated Dec 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
6301995515 Issued in MI
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

Updated by the provider on Dec 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301995515MIMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Karbel, PC Single Specialty PastSince Oct 1, 2019 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

Verify at the official NPI Registry.