Individual provider Active NPI

Felicia A Brabec, PSY.D., M.S.W.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1750394458
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012378 Issued in MI
Practice address
2350 Washtenaw Ave
Suite 8
Ann Arbor, MI 48104-4532
Phone
(734) 223-9390
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301012378 MI Primary

Addresses

Primary practice location

2350 Washtenaw Ave
Suite 8
Ann Arbor, MI 48104-4532

Mailing address

3167 Crimson CT
Ann Arbor, MI 48108-9123
Phone (734) 223-9390

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301012378MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1750394458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 CRIMSON CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089123",
            "telephone_number": "734-223-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WASHTENAW AVE",
            "address_2": "SUITE 8",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044532",
            "telephone_number": "734-223-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABEC",
        "first_name": "FELICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012378",
            "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 Nov 5, 2009; 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.