Organization Active NPI

Psychology/Educational Consulting Servicee

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
National Provider Identifier
1649790593
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
CC-3C0510353662 Issued in MI
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.