NPIMap

Organization Active NPI

Mira Cely, PH.D., PLLC

  • Clinical Psychologist
  • Birmingham, MI
National Provider Identifier
1700503984
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MIRA CELY, PH.D., PLLC
Practice address
300 E Maple Rd Ste 322
Birmingham, MI 48009-6311
Phone
(248) 342-8566
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Dr. Mira Cely, PH.D., L.P.NPI 1992116222
Title
Owner
Phone
(248) 342-8566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

300 E Maple Rd Ste 322
Birmingham, MI 48009-6311

Mailing address

29968 Sparkleberry Dr
Southfield, MI 48076-2072
Phone (248) 342-8566

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1700503984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29968 SPARKLEBERRY DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762072",
            "telephone_number": "248-342-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAPLE RD STE 322",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096311",
            "telephone_number": "248-342-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA CELY, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "CELY",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-342-8566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.P."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.