Carmen Rebecca, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CARMEN REBECCA, LLC

Practice address

1777 Axtell Dr Ste 100
Troy, MI 48084-4400

Phone

(248) 480-3510

NPI assigned

Sep 17, 2024

Last updated

Sep 25, 2024By 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

Carmen Rebecca Sollars, LLP

Title

Owner

Phone

(248) 480-3510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1811724438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42160 WOODWARD AVE UNIT 90",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045161",
            "telephone_number": "248-480-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844400",
            "telephone_number": "248-480-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN REBECCA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "SOLLARS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-480-3510",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel M Carlock
• Karen Marie Carlsen, RN
• Kendal Carlson
• Kristen Leigh Carlson
• Lori Carlson, CPNP
• William J Carmody, D.D.S.
• Brenda M Carnaghi, DPM
• Ashley Ann Carnagie, OTR
• Benjamin Robert John Carolan, PA-C
• Jodi Lynn Caroland, MA LPC NCC

• Clinical Psychologist in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.