Active NPI
Patricia G Rourke, PHD
- Clinical Psychologist
- Monroe, MI
National Provider Identifier
1801970652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301006139
- Practice address
- 2092 S Custer Rd
Monroe, MI 48161-1831 - Phone
- (734) 242-8711
- Fax
- (734) 242-3955
- NPI assigned
- Oct 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301006139 | MI | Primary |
Addresses
Primary practice location
2092 S Custer Rd
Monroe, MI 48161-1831
Mailing address
7550 Lucerne Dr
Suite 405
Middleburg Heights, OH 44130-6588
Phone (440) 234-8833
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006139 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1801970652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 LUCERNE DR",
"address_2": "SUITE 405",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441306588",
"telephone_number": "440-234-8833",
"fax_number": "440-234-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2092 S CUSTER RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481611831",
"telephone_number": "734-242-8711",
"fax_number": "734-242-3955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROURKE",
"first_name": "PATRICIA",
"middle_name": "G",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301006139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.