Spire 9 LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SPIRE 9 LLC

Practice address

14799 Dix Toledo Rd
Southfield, MI 48033-2507

Phone

(810) 691-4816

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Pagi Legrow

Title

Sole Member

Phone

(810) 691-4816

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1821587437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12023 RIVERBEND DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-691-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14799 DIX TOLEDO RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332507",
            "telephone_number": "810-691-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRE 9 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "LEGROW",
        "authorized_official_first_name": "PAGI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "810-691-4816"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.