Active NPI
Carrie Gleason, L.P.
- Clinical Psychologist
- Rochester Hills, MI
National Provider Identifier
1689085037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012777
- Practice address
- 1130 Tienken CT Ste 100
Rochester Hills, MI 48306-4369 - Phone
- (248) 854-5520
- NPI assigned
- May 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 6301012777 | MI | Primary |
Addresses
Primary practice location
1130 Tienken CT Ste 100
Rochester Hills, MI 48306-4369
Mailing address
1130 Tienken CT Ste 100
Rochester Hills, MI 48306-4369
Phone (248) 854-5520
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1689085037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 TIENKEN CT STE 100",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483064369",
"telephone_number": "248-854-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 TIENKEN CT STE 100",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483064369",
"telephone_number": "248-854-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "CARRIE",
"credential": "L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.