Psychology Associates of Michigan PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301011291 Issued in MI

Legal business name

PSYCHOLOGY ASSOCIATES OF MICHIGAN PC

Practice address

1708 Roseland Ave
Royal Oak, MI 48073-3978

Phone

(248) 514-5371

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amy E. Monicatti, PSY.D.NPI 1043254014

Title

President

Phone

(248) 514-5371

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

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

• Amy Monicatti

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1043254014
  Medicare reassignment NPD Authorized official
• Randal Clay Bruce, PH.D.

  • Clinical Neuropsychologist
  • Farmington Hills, MI
  • NPI 1306834551
  NPD (past)
• Arthur J Lewandowski

  • Clinical Psychologist
  • Warren, MI
  • NPI 1689618092
  NPD (past)
• Diana Yurk, PHD LP

  • Psychologist
  • Farmington Hills, MI
  • NPI 1275553281
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1710189147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 ROSELAND AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733978",
            "telephone_number": "248-514-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 ROSELAND AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733978",
            "telephone_number": "248-514-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY ASSOCIATES OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "MONICATTI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-514-5371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DF3207",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "680F332420",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Michelle Pryor, N.P.
• Jake Przybycien
• Kathryn Marie Psilis, NP
• Psychological and Spiritual Services
• Psychological Systems Inc
• Elan Moses Lerman Pszenica, MD
• Public Guardians, Inc.
• Angela Rose Pulawski
• Raghavesh Pullalarevu, MD
• Shreya Reddy Pulli

• Clinical Psychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.