NPIMap

Organization Active NPI

Samaritan Counseling Services

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1770909145
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SAMARITAN COUNSELING SERVICES
Practice address
2890 Carpenter Rd
Suite 1600
Ann Arbor, MI 48108-1100
Phone
(734) 677-0609
Fax
(734) 677-3072
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Gordon Prepsky, MA LLP
Title
Interim Executive Director
Phone
(734) 677-0609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X MI Primary

Addresses

Primary practice location

2890 Carpenter Rd
Suite 1600
Ann Arbor, MI 48108-1100

Mailing address

2890 Carpenter Rd
Suite 1600
Ann Arbor, MI 48108-1100
Phone (734) 677-0609

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2890 Carpenter Rd
Ste 1600
Ann Arbor, MI 48108
Phone (734) 667-0609

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1770909145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD",
            "address_2": "SUITE 1600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081100",
            "telephone_number": "734-677-0609",
            "fax_number": "734-677-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD",
            "address_2": "SUITE 1600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081100",
            "telephone_number": "734-677-0609",
            "fax_number": "734-677-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "PREPSKY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-677-0609",
        "authorized_official_credential": "MA LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": null,
            "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 Mar 10, 2014; 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.