Individual provider Active NPI

Erik Joseph Makie, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1740689389
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
6301015896 Issued in MI
Practice address
36880 Woodward Ave
Suite 205
Bloomfield Hills, MI 48304-0919
Phone
(248) 762-9165
NPI assigned
Aug 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6301015896 MI Primary

Addresses

Primary practice location

36880 Woodward Ave
Suite 205
Bloomfield Hills, MI 48304-0919

Mailing address

36880 Woodward Ave
Suite 205
Bloomfield Hills, MI 48304-0919
Phone (248) 762-9165

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

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1740689389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "SUITE 205",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-762-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "SUITE 205",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-762-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKIE",
        "first_name": "ERIK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-20",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301015896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.