Active NPI
Michaelene Renee Ruhl, PSYD, LLP
- Clinical Psychologist
- Farmington, MI
National Provider Identifier
1679724256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301015641
- Practice address
- 33335 Grand River Ave
Farmington, MI 48336-3194 - Phone
- (248) 821-1515
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301015641 | MI | Primary |
Addresses
Primary practice location
33335 Grand River Ave
Farmington, MI 48336-3194
Mailing address
30794 Lamar St
Farmington Hills, MI 48336-2639
Phone (248) 345-3557
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301015641 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378080000000",
"number": "1679724256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30794 LAMAR ST",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483362639",
"telephone_number": "248-345-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33335 GRAND RIVER AVE",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483363194",
"telephone_number": "248-821-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUHL",
"first_name": "MICHAELENE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PSYD, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2013-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301015641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.