Old Bat Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301011905 Issued in MI

Legal business name

OLD BAT INC

Practice address

623 W Huron St
2ND Floor
Ann Arbor, MI 48103-6712

Phone

(734) 218-6644

Fax

(734) 956-5256

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gina M Love, PSYD

Title

Owner

Phone

(734) 218-6644

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1780971606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W HURON ST",
            "address_2": "2ND FLOOR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036712",
            "telephone_number": "734-218-6644",
            "fax_number": "734-956-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W HURON ST",
            "address_2": "2ND FLOOR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036712",
            "telephone_number": "734-218-6644",
            "fax_number": "734-956-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-218-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND PIN UNDER OBI",
            "identifier": "0H10564",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0H10569",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386684157",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lynn Okey, LLMSW
• Donna K Okoli, MD
• Julia E Okuly, PT
• Lewis Edward Okun, PH.D.
• Catalina Olano-Ayerbe, MD
• Ann Oldani
• Christine Susan Oldenburg-McGee, PA
• Ann L Oldendorf, MD
• Justin M Oldham, MD
• Julie Ann Olechnowicz, MSN NP C

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.