Micki Levin JD PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301005211 Issued in MI

Legal business name

MICKI LEVIN JD PHD

Practice address

43902 Woodward Ave
Suite 118
Bloomfield Hills, MI 48302-5011

Phone

(248) 644-3371

Fax

(248) 644-5033

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Micki Levin, JD PHDNPI 1841342250

Title

Owner

Phone

(248) 644-3371

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Micki Levin, PH.D.

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1841342250
  NPD (past) Authorized official

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1649412289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE",
            "address_2": "SUITE 118",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025011",
            "telephone_number": "248-644-3371",
            "fax_number": "248-644-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE",
            "address_2": "SUITE 118",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025011",
            "telephone_number": "248-644-3371",
            "fax_number": "248-644-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKI LEVIN JD PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "MICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-644-3371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "JD PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SHIELD MICHIGAN",
            "identifier": "680F34901",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Mobile Medicine, PLLC
• Michigan Paratransit Services, LLC
• Michigan Psychological & Consulting Services PC
• Michigan Reproductive Medicine
• Michigan Sleep Wellness, PLLC
• Arnold Howard Migdal, DPM
• Nevena-Maria Mihailoff, MD
• Ted Miklas, M.D.
• Miletic Institute for Integrated Health PLLC
• Bruce Kenneth Miller, M.D.

• Clinical Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.