Active NPI
Alyssa Hedke
- Psychologist
- Bloomfield Hills, MI
National Provider Identifier
1760156202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362009255
- Practice address
- 35980 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-0903 - Phone
- (248) 220-3332
- NPI assigned
- Aug 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 6362009255 | MI | Primary |
Addresses
Primary practice location
35980 Woodward Ave Ste 100
Bloomfield Hills, MI 48304-0903
Mailing address
1714 Woodland St
Hamtramck, MI 48212-2934
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009255 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Behavioral Health, PLLC | Psychologist | Current | Accepting new patients |
Locations
35980 Woodward Ave
Ste 100
Bloomfield Hills, MI 48304
Phone (248) 220-3332
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Bloomfield Hills, MI
- NPI 1497272496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628380800000",
"number": "1760156202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 WOODLAND ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482122934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35980 WOODWARD AVE STE 100",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483040903",
"telephone_number": "248-220-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDKE",
"first_name": "ALYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-08",
"last_updated": "2021-08-08",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362009255",
"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 Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.