Ania Austin
Individual provider Active NPI Psychologist · Oak Park, MI
NPI 1689189607 · NPPES record last updated Dec 7, 2022
Key facts
- NPI
- 1689189607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6362009123 (MI)
- Practice address
- 25900 Greenfield Rd Ste 100
Oak Park, MI 48237-1297 - Phone
- (248) 788-4300
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009123 | MI | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Psychologist | 103T00000X | 6362009123 | MI | Yes |
Addresses
Primary practice location
25900 Greenfield Rd Ste 100
Oak Park, MI 48237-1297
Mailing address
25900 Greenfield Rd Ste 100
Oak Park, MI 48237-1297
Phone (248) 788-4300
Other practice location 1
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.