NPIMap

Organization Active NPI

Center for the Treatment of Anxiety Disorders

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1710008990
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301002465 Issued in MI
Legal business name
CENTER FOR THE TREATMENT OF ANXIETY DISORDERS
Practice address
28592 Orchard Lake Rd
#301
Farmington Hills, MI 48334-2961
Phone
(248) 626-8151
Fax
(248) 626-7277
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Carolyn Daitch, PH.D.NPI 1992963607
Title
Director
Phone
(248) 626-8151

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6301002465 MI Primary

Addresses

Primary practice location

28592 Orchard Lake Rd
#301
Farmington Hills, MI 48334-2961

Mailing address

28592 Orchard Lake Rd
#301
Farmington Hills, MI 48334-2961
Phone (248) 626-8151

Other identifiers 1

IdentifierTypeStateIssuer
680F327570OtherMIBCBS PIN #

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1710008990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD",
            "address_2": "#301",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342961",
            "telephone_number": "248-626-8151",
            "fax_number": "248-626-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD",
            "address_2": "#301",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342961",
            "telephone_number": "248-626-8151",
            "fax_number": "248-626-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR THE TREATMENT OF ANXIETY DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DAITCH",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-626-8151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "680F327570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.