Stephen Lennard Purcell, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301006138 Issued in MI

Practice address

321 S Main St
Ste.214
Ann Arbor, MI 48104-2117

Phone

(734) 663-1272

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1679730550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S MAIN ST",
            "address_2": "STE.214",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042117",
            "telephone_number": "734-663-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S MAIN ST",
            "address_2": "STE.214",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042117",
            "telephone_number": "734-663-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "STEPHEN",
        "middle_name": "LENNARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD PIN NUMBER",
            "identifier": "680H146990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satchana Pumprueg, M.D.
• Jeffrey D Punch, MD
• Margaret R Punch, MD
• Alexis Mae Punches, NP
• Darashana R Punglia, M.D.
• Myles Ashton Purdy, PA-C
• Pure Psychiatry of Michigan PLLC
• Nishant Krishan Puri, M.D.
• Ella Purington, MD
• Tania Joviani Purnomo

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.