Active NPI
Aaron Ceresnie, PSY.D.
- Psychologist
- Ann Arbor, MI
National Provider Identifier
1740666494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301016130
- Practice address
- 4924 Packard Road
Ann Arbor, MI 48108 - Phone
- (734) 971-9781
- NPI assigned
- Aug 5, 2015
- Last updated
- Oct 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301016130 | MI | Primary |
Addresses
Primary practice location
4924 Packard Road
Ann Arbor, MI 48108
Mailing address
8303 Platt Rd
Saline, MI 48176-9773
Phone (734) 295-4588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1740666494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 PLATT RD",
"city": "SALINE",
"state": "MI",
"postal_code": "481769773",
"telephone_number": "734-295-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4924 PACKARD ROAD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-971-9781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERESNIE",
"first_name": "AARON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-05",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301016130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.