Organization Active NPI

Professional Psychological Services, P.C.

  • Clinical Psychologist
  • Woodhaven, MI
National Provider Identifier
1881733210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002037 Issued in MI
Legal business name
PROFESSIONAL PSYCHOLOGICAL SERVICES, P.C.
Practice address
23933 Allen Rd Ste 12
Woodhaven, MI 48183-3369
Phone
(734) 671-8060
Fax
(734) 379-9594
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Raymond Csotty, PH.D.
Title
President
Phone
(734) 671-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 002037 MI Primary

Addresses

Primary practice location

23933 Allen Rd Ste 12
Woodhaven, MI 48183-3369

Mailing address

23933 Allen Rd Ste 12
Woodhaven, MI 48183-3369
Phone (734) 671-8060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881733210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23933 ALLEN RD STE 12",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833369",
            "telephone_number": "734-671-8060",
            "fax_number": "734-379-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23933 ALLEN RD STE 12",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833369",
            "telephone_number": "734-671-8060",
            "fax_number": "734-379-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CSOTTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-671-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "002037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.