Active NPI
Vicki M Adler, PH.D.
- Psychologist
- Bloomfield Hills, MI
National Provider Identifier
1851564652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301005484
- Practice address
- 74 W Long Lake Rd
Suite 104
Bloomfield Hills, MI 48304-2769 - Phone
- (248) 642-6066
- Fax
- (248) 642-5739
- NPI assigned
- Apr 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301005484 | MI | Primary |
Addresses
Primary practice location
74 W Long Lake Rd
Suite 104
Bloomfield Hills, MI 48304-2769
Mailing address
3972 Blackburn Dr
West Bloomfield, MI 48323-3002
Phone (248) 626-9136
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301005484 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Psychologists of Michigan, P.C. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Bloomfield Hills, MI
- NPI 1396918199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207958400000",
"number": "1851564652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3972 BLACKBURN DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483233002",
"telephone_number": "248-626-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 W LONG LAKE RD",
"address_2": "SUITE 104",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483042769",
"telephone_number": "248-642-6066",
"fax_number": "248-642-5739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "VICKI",
"middle_name": "M",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-12",
"last_updated": "2008-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301005484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.