NPIMap

Organization Active NPI

Arbor Psychology Group of Northville, PLLC

  • Clinical Psychologist
  • Northville, MI
National Provider Identifier
1659898526
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013977 Issued in MI
Legal business name
ARBOR PSYCHOLOGY GROUP OF NORTHVILLE, PLLC
Practice address
120 W Main St Ste 207
Northville, MI 48167-1584
Phone
(734) 738-0897
Fax
(734) 738-0898
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Dr. Michael Andrew Bambery, PHDNPI 1215128608
Title
Owner
Phone
(734) 738-0897

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 PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6301013977 MI Primary

Addresses

Primary practice location

120 W Main St Ste 207
Northville, MI 48167-1584

Mailing address

44450 Pinetree Dr Ste 101
Plymouth, MI 48170-3869
Phone (734) 738-0897

National Provider Directory

National Provider Directory

Locations

120 W Main St
Ste 207
Northville, MI 48167
Phone (313) 288-9104

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1659898526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44450 PINETREE DR STE 101",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703869",
            "telephone_number": "734-738-0897",
            "fax_number": "734-738-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST STE 207",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671584",
            "telephone_number": "734-738-0897",
            "fax_number": "734-738-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR PSYCHOLOGY GROUP OF NORTHVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "BAMBERY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-738-0897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013977",
            "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 Aug 23, 2017; 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.