A R Rickfelder PHD PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301001110 Issued in MI

Legal business name

A R RICKFELDER PHD PC

Practice address

640 Griswold St
Northville, MI 48167-1690

Phone

(248) 348-1100

Fax

(248) 348-3410

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By 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. Alan R Rickelder, PHD

Title

PHD / Owner

Phone

(248) 348-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1881001428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 GRISWOLD ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671690",
            "telephone_number": "248-348-1100",
            "fax_number": "248-348-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GRISWOLD ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671690",
            "telephone_number": "248-348-1100",
            "fax_number": "248-348-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A R RICKFELDER PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "RICKELDER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHD / OWNER",
        "authorized_official_telephone_number": "248-348-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301001110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OF34527",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Northville, MI
• Providers in Northville, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.