NPIMap

Organization Active NPI

Stephen J. Vangel Jr., PH.D.

  • Clinical Psychologist
  • Commerce Township, MI
National Provider Identifier
1730484163
Registry record updated Jan 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009301 Issued in MI
Legal business name
STEPHEN J. VANGEL JR., PH.D.
Practice address
9640 Commerce Rd
Suite 106
Commerce Township, MI 48382-4166
Phone
(248) 842-2930
Fax
(248) 360-8897
NPI assigned
Jan 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2011

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

Authorized official

Name
Dr. Stephen James Vangel Jr., PH.D.NPI 1043257967
Title
Sole Proprietor
Phone
(248) 842-2930

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 6301009301 MI
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6301009301 MI Primary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X 6301009301 MI

Addresses

Primary practice location

9640 Commerce Rd
Suite 106
Commerce Township, MI 48382-4166

Mailing address

3756 Ellisia Rd
Commerce Township, MI 48382-1724
Phone (248) 842-2930

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": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295049600000",
    "number": "1730484163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 ELLISIA RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483821724",
            "telephone_number": "248-842-2930",
            "fax_number": "248-360-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD",
            "address_2": "SUITE 106",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824166",
            "telephone_number": "248-842-2930",
            "fax_number": "248-360-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J. VANGEL JR., PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-01-15",
        "status": "A",
        "authorized_official_last_name": "VANGEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "248-842-2930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301009301",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009301",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "MI",
            "license": "6301009301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; 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.