Active NPI
Alicia A Width, MA, PSYD
- Clinical Psychologist
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301018162
- Practice address
- 41400 Dequindre Rd Ste 110
Sterling Heights, MI 48314-3751 - Phone
- (586) 580-2975
- NPI assigned
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 6301018162 | MI | Primary |
Addresses
Primary practice location
41400 Dequindre Rd Ste 110
Sterling Heights, MI 48314-3751
Mailing address
3950 S Shore Dr
Commerce Township, MI 48382-4397
Other practice location 1
13101 Allen Rd
Southgate, MI 48195-2216
Phone (734) 785-7700
Other practice location 2
39150 Dequindre Rd Ste 100
Sterling Heights, MI 48310-6983
Phone (586) 580-8270
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301018162 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Linings Counseling | Clinical | Current | Accepting new patients |
Locations
41400 Dequindre Rd
Ste 110
Sterling Heights, MI 48314
Phone (586) 580-2975
39150 Dequindre Rd
Ste 100
Sterling Hts, MI 48310
Phone (586) 580-2975
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.
-
- Clinical Psychologist
- Sterling Heights, MI
- NPI 1447612882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1871012799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 S SHORE DR",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483824397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41400 DEQUINDRE RD STE 110",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483143751",
"telephone_number": "586-580-2975"
}
],
"practiceLocations": [
{
"address_1": "13101 Allen Rd",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481952216",
"country_code": "US",
"telephone_number": "734-785-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39150 Dequindre Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Sterling Heights",
"state": "MI",
"postal_code": "483106983",
"country_code": "US",
"telephone_number": "586-580-8270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIDTH",
"first_name": "ALICIA",
"middle_name": "A",
"credential": "MA, PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301018162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.