Active NPI
Ann Chowdhury, LLP CAAC
- Clinical Psychologist
- Livonia, MI
National Provider Identifier
1861456352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008230
- Practice address
- 17177 N Laurel Park Dr
Cruz Clinic #131
Livonia, MI 48152-2693 - Phone
- (734) 462-3210
- Fax
- (734) 462-1024
- NPI assigned
- Apr 13, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301008230 | MI | Primary |
Addresses
Primary practice location
17177 N Laurel Park Dr
Cruz Clinic #131
Livonia, MI 48152-2693
Mailing address
42035 Waterwheel Rd
Northville, MI 48168-2248
Phone (248) 349-5381
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 |
|---|---|---|---|
| 6301008230 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor M. Cruz MD, P.C. | 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.
-
- Psychiatry Physician
- Livonia, MI
- NPI 1023036514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1861456352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42035 WATERWHEEL RD",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481682248",
"telephone_number": "248-349-5381",
"fax_number": "734-942-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17177 N LAUREL PARK DR",
"address_2": "CRUZ CLINIC #131",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522693",
"telephone_number": "734-462-3210",
"fax_number": "734-462-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOWDHURY",
"first_name": "ANN",
"credential": "LLP CAAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.