Active NPI
Liborio Joseph Padula, PHD
- Clinical Psychologist
- Westland, MI
National Provider Identifier
1881887487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301003882
- Practice address
- 30901 Palmer Rd
Westland, MI 48186-9529 - Phone
- (734) 367-8656
- Fax
- (734) 722-9524
- NPI assigned
- Aug 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301003882 | MI | |
| Clinical Psychologist | 103TC0700X | 6301003882 | MI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301003882 | MI | |
| Forensic Psychologist | 103TF0200X | 6301003882 | MI | |
| Social Worker | 104100000X | 6801015946 | MI | |
| Clinical Social Worker | 1041C0700X | 6801015946 | MI | |
| Marriage & Family Therapist | 106H00000X | 4101005389 | MI |
Addresses
Primary practice location
30901 Palmer Rd
Westland, MI 48186-9529
Mailing address
PO Box 51726
Livonia, MI 48151-5726
Phone (734) 953-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508883299 | Other | MI | WRPH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301003882 | MI | MD | Psychologist |
| 6801015946 | MI | MD | Clinical Social Worker |
| 4101005389 | MI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1881887487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51726",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481515726",
"telephone_number": "734-953-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30901 PALMER RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481869529",
"telephone_number": "734-367-8656",
"fax_number": "734-722-9524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADULA",
"first_name": "LIBORIO",
"middle_name": "JOSEPH",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-27",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301003882",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301003882",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301003882",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MI",
"license": "6301003882",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801015946",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801015946",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101005389",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WRPH",
"identifier": "1508883299",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.