Active NPI
Nanci Ann Beard, M.A.
- Clinical Psychologist
- Plymouth, MI
National Provider Identifier
1831382050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301010987
- Practice address
- 340 N Main St
Suite 201
Plymouth, MI 48170-1249 - Phone
- (734) 254-9188
- NPI assigned
- Aug 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301010987 | MI | Primary |
Addresses
Primary practice location
340 N Main St
Suite 201
Plymouth, MI 48170-1249
Mailing address
340 N Main St
Suite 201
Plymouth, MI 48170-1249
Phone (734) 254-9188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17421 Telegraph Rd
Detroit, MI 48219-3165
5716 Michigan Ave
Suite 3000
Detroit, MI 48210-3039
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010987 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1831382050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 N MAIN ST",
"address_2": "SUITE 201",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701249",
"telephone_number": "734-254-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N MAIN ST",
"address_2": "SUITE 201",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701249",
"telephone_number": "734-254-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "NANCI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301010987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.