Individual provider Active NPI

Valerie Luxon, PSY.D.

  • Clinical Psychologist
  • Birmingham, MI
National Provider Identifier
1730467812
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301016242 Issued in MI
Practice address
912 S Old Woodward Ave Ste 200
Birmingham, MI 48009-6721
Phone
(248) 537-2639
NPI assigned
Jul 24, 2011
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 6301016242 MI Primary

Addresses

Primary practice location

912 S Old Woodward Ave Ste 200
Birmingham, MI 48009-6721

Mailing address

912 S Old Woodward Ave Ste 200
Birmingham, MI 48009-6721
Phone (248) 537-2639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615002553 MI Practitioner - Clinical Psychologist 8224295878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mybody PLLCGroup PAC ID 7719305788, 2 clinicians

Practice addresses (Care Compare)

912 S Old Woodward Ave
Suite 200
Birmingham, MI 48009-6721
Phone 248537263910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301016242MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mybody, PLLC Clinical CurrentSince Aug 31, 2016 Accepting new patients
Alexian Brothers Behavioral Health Hospital Clinical Past Accepting new patients

Locations

912 S Old Woodward Ave
Ste 200
Birmingham, MI 48009
Phone (248) 537-2639

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1730467812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S OLD WOODWARD AVE STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096721",
            "telephone_number": "248-537-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S OLD WOODWARD AVE STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096721",
            "telephone_number": "248-537-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUXON",
        "first_name": "VALERIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.