Active NPI
Erica T Miletti
- Psychologist
- Northville, MI
National Provider Identifier
1649987967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362009669
- Practice address
- 315 Griswold St
Northville, MI 48167-1615 - Phone
- (248) 308-3592
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 6362009669 | MI | Primary |
Addresses
Primary practice location
315 Griswold St
Northville, MI 48167-1615
Mailing address
1816 Browning St
Ferndale, MI 48220-3400
Phone (248) 877-4050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009669 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living and Learning Enrichment Center | Current | Accepting new patients |
Locations
315 Griswold St
Northville, MI 48167
Phone (248) 308-2592
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Northville, MI
- NPI 1649716804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1649987967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 BROWNING ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482203400",
"telephone_number": "248-877-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 GRISWOLD ST",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481671615",
"telephone_number": "248-308-3592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILETTI",
"first_name": "ERICA",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MI",
"license": "6362009669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.