J. Bruce Hillenberg, PH.D., P.L.L.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301006433 Issued in MI

Legal business name

J. BRUCE HILLENBERG, PH.D., P.L.L.C.

Practice address

3577 W 13 Mile Rd
Suite 142
Royal Oak, MI 48073-6710

Phone

(248) 892-4364

Fax

(248) 551-8437

NPI assigned

Mar 29, 2007

Last updated

Jul 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffry Bruce Hillenberg, PH.D.NPI 1033158324

Title

Sole Member

Phone

(248) 892-4364

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffry Bruce Hillenberg, PH.D.

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1033158324
  Authorized official Same address or phone

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185062400000",
    "number": "1861512329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32215 SHREWSBURY ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341638",
            "telephone_number": "248-892-4364",
            "fax_number": "248-855-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 W 13 MILE RD",
            "address_2": "SUITE 142",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-892-4364",
            "fax_number": "248-551-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. BRUCE HILLENBERG, PH.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-22",
        "status": "A",
        "authorized_official_last_name": "HILLENBERG",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-892-4364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rajesh V Iyer, MD
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• Kausar J Jabbar, MD
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• Sara Jaber, M.D.
• Abigail M Jackson
• Brittany Jackson

• Clinical Psychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2007; 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.