Amy J. Trabitz, PH.D., P.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

6301006103 Issued in MI

Legal business name

AMY J. TRABITZ, PH.D., P.C.

Practice address

23810 Michigan Ave
Suite 202B
Dearborn, MI 48124-1830

Phone

(313) 359-3161

Fax

(313) 359-4811

NPI assigned

Dec 14, 2009

Last updated

Oct 8, 2013By 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

Dr. Amy J. Trabitz, PH.D.

Title

President

Phone

(313) 359-3161

Specialties & licenses 2

Addresses

Other names 1

• Amy J. Charness Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 7

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.

• Amy J Charness, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Dearborn, MI
  • NPI 1295898112
  Medicare reassignment
• Roberta Ann Lucas, MA PSYCHOLOGY, LLP

  • Clinical Psychologist
  • Dearborn, MI
  • NPI 1356932677
  NPD
• Pamela Czuj, LMSW

  • Clinical Social Worker
  • Dearborn, MI
  • NPI 1508026006
  NPD (past)
• Jade Ellenbrook, MA, LLP

  • Clinical Psychologist
  • Dearborn, MI
  • NPI 1295134732
  NPD (past)
• Irene Garza, LMSW

  • Social Worker
  • Dearborn, MI
  • NPI 1417108929
  NPD (past)
• Virginia Martinez, MA, TLLP

  • Counseling Psychologist
  • Bloomfield Hills, MI
  • NPI 1902307630
  NPD (past)
• Deborah Lila-Duben Singer, M.A. L.L.P.

  • Psychologist
  • Auburn Hills, MI
  • NPI 1952598831
  NPD (past)

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1821327222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23810 MICHIGAN AVE",
            "address_2": "SUITE 202B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241830",
            "telephone_number": "313-359-3161",
            "fax_number": "313-359-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23810 MICHIGAN AVE",
            "address_2": "SUITE 202B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241830",
            "telephone_number": "313-359-3161",
            "fax_number": "313-359-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY J. TRABITZ, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "TRABITZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-359-3161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6301006103",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6301006103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy J. Charness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rana Ammar I
• Reda Ammar
• Leena Ammari
• Leena Ammori, PA-C
• Amor Homecare Inc of Michigan
• Ana Groups LLC
• Alanood Anakeeb
• Ananda Medical Clinic and Healing Center PLC
• Ahmad Ali Anani, ND
• Noor Ali Anani, DNP, CPNP-PC

• Adolescent and Children Mental Health Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Adolescent and Children Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.