Rene Nota, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301015724 Issued in MI

Practice address

16950 19 Mile Rd Ste 1B
Clinton Township, MI 48038-4807

Phone

(586) 588-3663

NPI assigned

Jun 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Rene M Nota, PHD Inc

  dba Rene Nota

  • Clinical Psychologist
  • Clinton Township, MI
  • NPI 1427681212
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1649652991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16950 19 MILE RD STE 1B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384807",
            "telephone_number": "586-588-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 19 MILE RD STE 1B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384807",
            "telephone_number": "586-588-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTA",
        "first_name": "RENE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Noorily, M.D.
• Nora J Zoma DC PLLC
• Nordstrom Inc & Subsidiaries
• John B Nori, DO
• Deonta Lamar Norman
• Jennifer Lynn Noth
• Nova Psychological Services
• Jasmine Novak
• Rebecca Nowak, LMSW
• Barbara Nowakowski, R.N.

• Clinical Psychologist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.