Michigan Psychological & Consulting Services PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301007958 Issued in MI

Legal business name

MICHIGAN PSYCHOLOGICAL & CONSULTING SERVICES PC

Practice address

43902 Woodward Ave
Ste 230
Bloomfield Hills, MI 48302

Phone

(248) 858-8412

Fax

(248) 858-8411

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Firoza B Van Horn, PSY.DNPI 1982639472

Title

Owner

Phone

(248) 858-8412

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Firoza B Van Horn, PSY. D.

  • Clinical Neuropsychologist
  • Bloomfield Hills, MI
  • NPI 1982639472
  Authorized official Same address or phone

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1720284284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE",
            "address_2": "STUITE 230",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-858-8412",
            "fax_number": "248-858-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE",
            "address_2": "STE 230",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-858-8412",
            "fax_number": "248-858-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PSYCHOLOGICAL & CONSULTING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "FIROZA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-858-8412",
        "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": "6301007958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, 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 29, 2018; 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.