NPIMap

Organization Active NPI

Center for Emdr and Trauma Therapy

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1649811845
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CENTER FOR EMDR AND TRAUMA THERAPY
Practice address
3820 Packard St Ste 250
Ann Arbor, MI 48108-5017
Phone
(734) 780-7338
NPI assigned
Sep 30, 2019
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Amy Marchant, LPCNPI 1770822108
Title
Owner/Founder
Phone
(734) 780-7338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3820 Packard St Ste 250
Ann Arbor, MI 48108-5017

Mailing address

PO Box 216
Brighton, MI 48116-0216
Phone (734) 476-5024

National Provider Directory

National Provider Directory

Locations

3820 Packard St
Ste 250
Ann Arbor, MI 48108
Phone (734) 489-1097

28900 Pontiac Trl
South Lyon, MI 48178
Phone (248) 560-7507

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1649811845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481160216",
            "telephone_number": "734-476-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 PACKARD ST STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085017",
            "telephone_number": "734-780-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EMDR AND TRAUMA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "MARCHANT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "734-780-7338",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.