Individual provider Active NPI

Alicia A Width, MA, PSYD

  • Clinical Psychologist
  • Sterling Heights, MI
National Provider Identifier
1871012799
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301018162 Issued in MI
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

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6301018162MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Linings Counseling Clinical CurrentSince Oct 6, 2019 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.

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.

Verify at the official NPI Registry.