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
- Last updated
- Dec 23, 2023
- 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 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Birmingham, MI
- NPI 1568005353
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.