NPIMap

Organization Active NPI

Two Paths Integrative Wellness LLC

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1861920571
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1154631588 Issued in MI
Legal business name
TWO PATHS INTEGRATIVE WELLNESS LLC
Practice address
26105 Orchard Lake Rd Ste 204
Farmington Hills, MI 48334-4578
Phone
(248) 798-0539
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Dr. Vanessa Brown, LPNPI 1154631588
Title
Owner
Phone
(248) 798-0539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1316499775 MI
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1063949667 MI
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1154631588 MI Primary

Addresses

Primary practice location

26105 Orchard Lake Rd Ste 204
Farmington Hills, MI 48334-4578

Mailing address

26105 Orchard Lake Rd Ste 204
Farmington Hills, MI 48334-4578

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1861920571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26105 ORCHARD LAKE RD STE 204",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26105 ORCHARD LAKE RD STE 204",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344578",
            "telephone_number": "248-798-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO PATHS INTEGRATIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-798-0539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "1316499775",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "1063949667",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "1154631588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.