Individual provider Active NPI

Maria Cristina Ramirez, PH.D.

  • Clinical Psychologist
  • Huntington Woods, MI
National Provider Identifier
1851455844
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301011808 Issued in MI
Practice address
26789 Woodward Ave
Ste 108a
Huntington Woods, MI 48070-1334
Phone
(248) 890-0997
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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 6301011808 MI Primary

Addresses

Primary practice location

26789 Woodward Ave
Ste 108a
Huntington Woods, MI 48070-1334

Mailing address

26789 Woodward Ave
Ste 108a
Huntington Woods, MI 48070-1334
Phone (248) 890-0997

Other identifiers 1

IdentifierTypeStateIssuer
680H221270OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • M. Cristina Ramirez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623000539 MI Practitioner - Clinical Psychologist 0244652113 Practice locations: Huntington Woods, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26789 Woodward Ave
Huntington Woods, MI 48070-1334
Phone 2488900997900997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301011808MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1851455844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26789 WOODWARD AVE",
            "address_2": "STE 108A",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701334",
            "telephone_number": "248-890-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26789 WOODWARD AVE",
            "address_2": "STE 108A",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701334",
            "telephone_number": "248-890-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MARIA CRISTINA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "680H221270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M. CRISTINA",
            "last_name": "RAMIREZ",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntington Woods, MI

Sources for this page

Verify at the official NPI Registry.