Active NPI
Ideal Psychology Group LLC
Doing business as Ideal Psychology Group
- Clinical Social Worker
- Troy, MI
National Provider Identifier
1790472603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- IDEAL PSYCHOLOGY GROUP LLC
- Doing business as
- Ideal Psychology Group
- Practice address
- 888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745 - Phone
- (248) 660-9454
- NPI assigned
- Apr 20, 2023
- Last updated
- Jan 29, 2024
- 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
- Megan Ortega, LMSW
- Title
- Owner
- Phone
- (248) 660-9454
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 Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745
Mailing address
888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745
Phone (248) 660-9454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841675055 | Medicaid | MI |
Other names 2
- Ideal Psychology Group
- Silver Lining Counseling LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Troy, MI
- NPI 1841675055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1790472603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD STE 780",
"city": "TROY",
"state": "MI",
"postal_code": "480844745",
"telephone_number": "248-660-9454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD STE 780",
"city": "TROY",
"state": "MI",
"postal_code": "480844745",
"telephone_number": "248-660-9454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAL PSYCHOLOGY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-20",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "ORTEGA",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-660-9454",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841675055",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ideal Psychology Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Silver Lining Counseling LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.