Active NPI
Connor Stevenson, LLP
- Cognitive & Behavioral Psychologist
- Troy, MI
National Provider Identifier
1861053548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 6362009517
- Practice address
- 1861 E Maple Rd
Troy, MI 48083-4207 - Phone
- (248) 246-0172
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361008184 | MI | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 6362009517 | MI | Primary |
| Technician/Technologist | 156F00000X |
Addresses
Primary practice location
1861 E Maple Rd
Troy, MI 48083-4207
Mailing address
1861 E Maple Rd
Troy, MI 48083-4207
Phone (248) 246-0172
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6361008184 | MI | MD | Psychologist |
| 6362009517 | MI | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCTS Rose, LLC | Psychologist | Current | Accepting new patients |
Locations
1861 E Maple Rd
Troy, MI 48083
Phone (248) 246-0172
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.
-
dba MCTS Rose Program
- Adult Mental Health Clinic/Center
- Troy, MI
- NPI 1588357461
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1861053548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 E MAPLE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480834207",
"telephone_number": "248-246-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1861 E MAPLE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480834207",
"telephone_number": "248-246-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "CONNOR",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361008184",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MI",
"license": "6362009517",
"primary": true
},
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.