Tyler J Auclair
Individual provider Active NPI Psychologist · Chesterfield, MI
NPI 1700316767 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1700316767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 53869 Connor Dr
Chesterfield, MI 48051-3930 - Phone
- (773) 241-4009
- NPI assigned
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways to Potential | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
53869 Connor Dr
Chesterfield, MI 48051-3930
Mailing address
53869 Connor Dr
Chesterfield, MI 48051-3930
Phone (773) 241-4009
Other providers in Chesterfield, MI
- Noah Ashburn-Kudla
- Gavin Aspenson
- Athletico LTD
- Michelle Atkins
- Morgan Atkins
- Magdalena Audimoolam
- Audree Audinet
- Lauren Avers
- Kawana Rochelle Avery
- Olivera Avram
All providers in Chesterfield, MI · Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 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.