Active NPI
Lori R. Stanley, PH.D
- Psychologist
- Clinton Township, MI
National Provider Identifier
1649547639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361002758
- Practice address
- 15930 19 Mile Rd Ste 150
Clinton Township, MI 48038-1155 - Phone
- (517) 242-9759
- NPI assigned
- Nov 19, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361002758 | MI | Primary |
Addresses
Primary practice location
15930 19 Mile Rd Ste 150
Clinton Township, MI 48038-1155
Mailing address
17267 Cardiff CT
Clinton TWP, MI 48038-4641
Phone (517) 242-9759
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361002758 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Changing Perceptions Therapy | 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.
-
- Community/Behavioral Health Agency
- Clinton TWP, MI
- NPI 1912273095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1649547639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17267 CARDIFF CT",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480384641",
"telephone_number": "517-242-9759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15930 19 MILE RD STE 150",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381155",
"telephone_number": "517-242-9759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "LORI",
"middle_name": "R.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-19",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361002758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.