Organization Active NPI

Michele Selover

  • Psychologist
  • Canton, MI
National Provider Identifier
1669491346
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301011912 Issued in MI
Legal business name
MICHELE SELOVER
Practice address
5958 N Canton Center Rd
Suite 900
Canton, MI 48187-2765
Phone
(734) 737-1200
Fax
(734) 737-1205
NPI assigned
Jul 19, 2006
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Mrs. Michele Lynn Selover, MA, LLPNPI 1275047342
Title
Psychotherapist
Phone
(734) 737-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301011912 MI Primary

Addresses

Primary practice location

5958 N Canton Center Rd
Suite 900
Canton, MI 48187-2765

Mailing address

5958 N Canton Center Rd
Suite 900
Canton, MI 48187-2765
Phone (734) 737-1200

Other names 1

  • Advanced Counseling Services Other name

National Provider Directory

National Provider Directory

Locations

5958 N Canton Center Rd
Ste 900
Canton, MI 48187
Phone (734) 408-1149

Practitioners & affiliated clinicians

Practitioners 1

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1669491346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD",
            "address_2": "SUITE 900",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872765",
            "telephone_number": "734-737-1200",
            "fax_number": "734-737-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD",
            "address_2": "SUITE 900",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872765",
            "telephone_number": "734-737-1200",
            "fax_number": "734-737-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE SELOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "SELOVER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-737-1200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.