Active NPI
Cheryl Beth Blau, M.A., T.L.L.P.
- Counseling Psychologist
- Farmington Hills, MI
National Provider Identifier
1821271974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301013678
- Practice address
- 38345 W 10 Mile Rd
Suite 150
Farmington Hills, MI 48335-2867 - Phone
- (248) 478-0422
- NPI assigned
- Dec 12, 2007
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 6301013678 | MI | |
| Counseling Psychologist | 103TC1900X | 6301013678 | MI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301013678 | MI | |
| Family Psychologist | 103TF0000X | 6301013678 | MI | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 6301013678 | MI | |
| Group Psychotherapy Psychologist | 103TP2701X | 6301013678 | MI | |
| Marriage & Family Therapist | 106H00000X | 6301013678 | MI |
Addresses
Primary practice location
38345 W 10 Mile Rd
Suite 150
Farmington Hills, MI 48335-2867
Mailing address
38345 W 10 Mile Rd
Suite 150
Farmington Hills, MI 48335-2867
Phone (248) 478-0422
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013678 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1821271974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38345 W 10 MILE RD",
"address_2": "SUITE 150",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483352867",
"telephone_number": "248-478-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38345 W 10 MILE RD",
"address_2": "SUITE 150",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483352867",
"telephone_number": "248-478-0422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAU",
"first_name": "CHERYL",
"middle_name": "BETH",
"credential": "M.A., T.L.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MI",
"license": "6301013678",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301013678",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301013678",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MI",
"license": "6301013678",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MI",
"license": "6301013678",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MI",
"license": "6301013678",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "6301013678",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.