Active NPI
Tree Town Therapy PLLC
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1780103382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301014921
- Legal business name
- TREE TOWN THERAPY PLLC
- Practice address
- 2311 Shelby Ave Ste 201C
Ann Arbor, MI 48103-3849 - Phone
- (734) 223-3520
- NPI assigned
- Sep 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Hansen, PSYD, LP
- Title
- Clinical Psychologist
- Phone
- (734) 223-3520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301014921 | MI | Primary |
Addresses
Primary practice location
2311 Shelby Ave Ste 201C
Ann Arbor, MI 48103-3849
Mailing address
376 Pinewood St
Ann Arbor, MI 48103-2738
Phone (734) 223-3520
National Provider Directory
National Provider DirectoryLocations
2311 Shelby Ave
Ste 201C
Ann Arbor, MI 48103
Phone (734) 223-3520
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Ann Arbor, MI
- NPI 1427331289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505347200000",
"number": "1780103382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 PINEWOOD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481032738",
"telephone_number": "734-223-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 SHELBY AVE STE 201C",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033849",
"telephone_number": "734-223-3520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREE TOWN THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-14",
"last_updated": "2017-09-14",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "REBEKAH",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "734-223-3520",
"authorized_official_credential": "PSYD, LP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301014921",
"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 Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.