Active NPI
Psychology/Educational Consulting Servicee
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
National Provider Identifier
1649790593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- CC-3C0510353662
- Legal business name
- PSYCHOLOGY/EDUCATIONAL CONSULTING SERVICEE
- Practice address
- 18324 Fairfield St
Detroit, MI 48221-2753 - Phone
- (313) 657-1836
- Fax
- (313) 342-8090
- NPI assigned
- Jun 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sondra Clark Williams, LLP
- Title
- Psychologist
- Phone
- (313) 657-1836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | CC-3C0510353662 | MI | Primary |
Addresses
Primary practice location
18324 Fairfield St
Detroit, MI 48221-2753
Mailing address
18324 Fairfield St
Detroit, MI 48221-2753
Phone (313) 657-1836
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1649790593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18324 FAIRFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212753",
"telephone_number": "313-657-1836",
"fax_number": "313-342-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18324 FAIRFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212753",
"telephone_number": "313-657-1836",
"fax_number": "313-342-8090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGY/EDUCATIONAL CONSULTING SERVICEE",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-22",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "SONDRA",
"authorized_official_middle_name": "CLARK",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "313-657-1836",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LLP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MI",
"license": "CC-3C0510353662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Demetrious K Psimoulis, M.D.
- Psych MD PLLC
- Psychiatry and Behavioral Medicine Professionals
- Psychiatry and Behavioral Medicine Professionals
- Psychiatry and Behaviorial Medicine Professionials
- Kathleen Ptashnik, DDS
- Public Owned Property Solution (Pop Solutions)
- Public Popular Health LLC
- Benjamin John Puccio, MD
- Rachel Puentes, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.