Ace Psychological Consultants LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301016394 Issued in MI

Legal business name

ACE PSYCHOLOGICAL CONSULTANTS LLC

Practice address

1920 Livernois Rd Ste D
Troy, MI 48083-1770

Phone

(248) 632-1600

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Austin Yunck

Title

Manager

Phone

(248) 632-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1750839783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 LIVERNOIS RD STE D",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831770",
            "telephone_number": "248-632-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 LIVERNOIS RD STE D",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831770",
            "telephone_number": "248-632-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE PSYCHOLOGICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "YUNCK",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-632-1600"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301016394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.