Laura M. Northerner, PHD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301019027 Issued in MI

Practice address

6022 W Maple Rd Ste 403
West Bloomfield, MI 48322-4408

Phone

(248) 266-1183

NPI assigned

Jun 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Northerner Psychological Services, PLLC

  • Clinical Psychologist
  • West Bloomfield, MI
  • NPI 1952901225
  NPD Authorized official

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1881008332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 W MAPLE RD STE 403",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224408",
            "telephone_number": "248-266-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 W MAPLE RD STE 403",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224408",
            "telephone_number": "248-266-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHERNER",
        "first_name": "LAURA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Nicole Noe, PT, DPT
• Maream Nori, DPM
• Ruth Anne Normile, PTA
• North Point - Pioneer, Inc
• Northerner Psychological Services, PLLC
• Northwest Podiatry PC
• Notting Hill of West Bloomfield, LLC
• Adriana Estela Novelli-Canner, P.T.
• Marina Novikova, DO
• Peggyann Nowak, MD

• Clinical Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.