Active NPI
Bridget I Ahearn, PSY.D
- Clinical Psychologist
- Alma, MI
National Provider Identifier
1760738280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301016200
- Practice address
- 2025 W Cheesman Rd
Alma, MI 48801-9760 - Phone
- (989) 463-3451
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 6301016200 | MI | Primary |
Addresses
Primary practice location
2025 W Cheesman Rd
Alma, MI 48801-9760
Mailing address
2025 W Cheesman Rd
Alma, MI 48801-9760
Phone (989) 463-3451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B96028 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Other names 1
- Sister Mary Ahearn
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": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1760738280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 W CHEESMAN RD",
"city": "ALMA",
"state": "MI",
"postal_code": "488019760",
"telephone_number": "989-463-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 W CHEESMAN RD",
"city": "ALMA",
"state": "MI",
"postal_code": "488019760",
"telephone_number": "989-463-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHEARN",
"first_name": "BRIDGET",
"middle_name": "I",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "0B96028",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SISTER",
"last_name": "AHEARN",
"middle_name": "MARY",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.