Michigan Neuropsychological Society, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MICHIGAN NEUROPSYCHOLOGICAL SOCIETY, INC.

Practice address

26555 Evergreen Rd
Suite # 826
Southfield, MI 48076-4206

Phone

(248) 350-9559

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John D Russell

Title

President

Phone

(248) 909-8402

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1790086114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26555 EVERGREEN RD",
            "address_2": "SUITE # 826",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764206",
            "telephone_number": "248-350-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26555 EVERGREEN RD",
            "address_2": "SUITE # 826",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764206",
            "telephone_number": "248-350-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN NEUROPSYCHOLOGICAL SOCIETY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-909-8402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Institute of Urology PC
• Michigan Massage Therapy
• Michigan Medical Clinics
• Michigan Medical Clinics, Inc
• Michigan Neurodiagnostics, LLC (Stratus)
• Michigan Orthopaedic Institute, P.C.
• Michigan Orthopaedic Surgeons, PLLC
• Michigan Orthopaedic Surgeons, PLLC
• Michigan Orthopaedic Surgeons, PLLC
• Michigan Orthopedic Services LLC

• Voluntary or Charitable Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.