NPIMap

Organization Active NPI

Alliance Psychological, LLC

  • Clinical Psychologist
  • Royal Oak, MI
National Provider Identifier
1801204862
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014892 Issued in MI
Legal business name
ALLIANCE PSYCHOLOGICAL, LLC
Practice address
811 N Main St
Suite 201
Royal Oak, MI 48067-1825
Phone
(248) 325-8197
NPI assigned
Jul 23, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Jeff Gruber, PSYDNPI 1518292820
Title
Owner
Phone
(248) 325-8197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301014892 MI Primary

Addresses

Primary practice location

811 N Main St
Suite 201
Royal Oak, MI 48067-1825

Mailing address

811 N Main St
Suite 201
Royal Oak, MI 48067-1825
Phone (248) 325-8197

National Provider Directory

National Provider Directory

Locations

811 N Main St
Ste 201
Royal Oak, MI 48067
Phone (248) 325-8197

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": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1801204862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671825",
            "telephone_number": "248-325-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671825",
            "telephone_number": "248-325-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PSYCHOLOGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "GRUBER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-325-8197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.