Individual provider Active NPI

Stacy Colleen Nuar, PSYD, LP

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1831323658
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301019829 Issued in MI
Practice address
5777 W Maple Rd Ste 145
West Bloomfield, MI 48322-4471
Phone
(734) 719-0504
NPI assigned
May 7, 2009
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301019829 MI Primary

Addresses

Primary practice location

5777 W Maple Rd Ste 145
West Bloomfield, MI 48322-4471

Mailing address

30146 Woodbrook CT
Farmington Hills, MI 48334-3061
Phone (248) 330-0748

Other names 1

  • Stacy Colleen Fairchild Former name

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

State licenses

LicenseStateTypeSpecialty
6301019829MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1831323658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30146 WOODBROOK CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343061",
            "telephone_number": "248-330-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD STE 145",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224471",
            "telephone_number": "734-719-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUAR",
        "first_name": "STACY",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "FAIRCHILD",
            "middle_name": "COLLEEN",
            "credential": "MA, LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.