NPIMap

Organization Active NPI

Renee Applebaum PH.D. PC

  • Clinical Neuropsychologist
  • Bingham Farms, MI
National Provider Identifier
1659522159
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301009696 Issued in MI
Legal business name
RENEE APPLEBAUM PH.D. PC
Practice address
30150 Telegraph Rd
Suite 255
Bingham Farms, MI 48025-4519
Phone
(248) 203-9107
Fax
(248) 203-7117
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Renee Ilene Applebaum, PH.D.NPI 1083789838
Title
President
Phone
(248) 203-9107

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
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 6301009696 MI Primary

Addresses

Primary practice location

30150 Telegraph Rd
Suite 255
Bingham Farms, MI 48025-4519

Mailing address

30150 Telegraph Rd
Suite 255
Bingham Farms, MI 48025-4519
Phone (248) 203-9107

National Provider Directory

National Provider Directory

Locations

30150 Telegraph Rd
Ste 255
Bingham Farms, MI 48025
Phone (248) 203-9107

30150 Telegraph Rd
Ste 25
Bingham Farms, MI 48025
Phone (248) 203-9107

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1659522159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD",
            "address_2": "SUITE 255",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254519",
            "telephone_number": "248-203-9107",
            "fax_number": "248-203-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD",
            "address_2": "SUITE 255",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254519",
            "telephone_number": "248-203-9107",
            "fax_number": "248-203-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE APPLEBAUM PH.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "APPLEBAUM",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ILENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-203-9107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301009696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.