Organization Active NPI

Ideal Psychology Group LLC

Doing business as Ideal Psychology Group

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1790472603
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Megan Ortega, LMSWNPI 1841675055
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1841675055MedicaidMI

Other names 2

  • Ideal Psychology Group Doing business as
  • Silver Lining Counseling LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.