Organization Active NPI

Ira Lourie, Psy.D., PLLC

  • Clinical Neuropsychologist
  • Farmington Hills, MI
National Provider Identifier
1831516152
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301007750 Issued in MI
Legal business name
IRA LOURIE, PSY.D., PLLC
Practice address
30051 High Valley Rd
Farmington Hills, MI 48331-2144
Phone
(248) 788-9708
Fax
(248) 788-9708
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Ira Lourie, PSY.D.
Title
Psychologist
Phone
(248) 788-9708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 6301007750 MI Primary

Addresses

Primary practice location

30051 High Valley Rd
Farmington Hills, MI 48331-2144

Mailing address

30051 High Valley Rd
Farmington Hills, MI 48331-2144
Phone (248) 788-9708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1831516152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30051 HIGH VALLEY RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312144",
            "telephone_number": "248-788-9708",
            "fax_number": "248-788-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30051 HIGH VALLEY RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312144",
            "telephone_number": "248-788-9708",
            "fax_number": "248-788-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA LOURIE, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "LOURIE",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-788-9708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301007750",
            "primary": true
        }
    ],
    "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 Mar 25, 2014; 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.