Active NPI
Pamela Anne Lemerand, PH.D.
- Clinical Child & Adolescent Psychologist
- Ypsilanti, MI
National Provider Identifier
1780989020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 6301005921
- Practice address
- 1055 Cornell Rd
Autism Collaborative Center
Ypsilanti, MI 48197-1657 - Phone
- (734) 485-2890
- Fax
- (734) 458-2892
- NPI assigned
- Jan 18, 2011
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 6301005921 | MI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301005921 | MI | Primary |
Addresses
Primary practice location
1055 Cornell Rd
Autism Collaborative Center
Ypsilanti, MI 48197-1657
Mailing address
1055 Cornell Street
Autism Collaborative Center
Ypsilanti, MI 48197
Phone (734) 485-2890
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301005921 | MI | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1780989020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 CORNELL STREET",
"address_2": "AUTISM COLLABORATIVE CENTER",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-485-2890",
"fax_number": "734-458-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 CORNELL RD",
"address_2": "AUTISM COLLABORATIVE CENTER",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971657",
"telephone_number": "734-485-2890",
"fax_number": "734-458-2892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMERAND",
"first_name": "PAMELA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MI",
"license": "6301005921",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301005921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.