Individual provider Active NPI

Patricia Ann Tattrie, PSY.D. L.P.

  • Clinical Psychologist
  • Birmingham, MI
National Provider Identifier
1689604795
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013642 Issued in MI
Practice address
999 Haynes St
Ste 200
Birmingham, MI 48009-6775
Phone
(248) 807-8977
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301013642 MI Primary

Addresses

Primary practice location

999 Haynes St
Ste 200
Birmingham, MI 48009-6775

Mailing address

999 Haynes St
Ste 200
Birmingham, MI 48009-6775
Phone (248) 807-8977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090409000146 MI Practitioner - Clinical Psychologist 8729135751 Practice locations: Royal Oak, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4406 Berkshire Rd
Royal Oak, MI 48073-6204
Phone (248) 807-8977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Psychiatric Services, LLP Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1689604795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096775",
            "telephone_number": "248-807-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096775",
            "telephone_number": "248-807-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATTRIE",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PSY.D. L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.