Organization Active NPI

Aspire Rehabilitation Services, LLC

  • Rehabilitation Psychologist
  • Troy, MI
National Provider Identifier
1891037735
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
6301007332 Issued in MI
Legal business name
ASPIRE REHABILITATION SERVICES, LLC
Practice address
1000 John R Rd Ste 211
Troy, MI 48083-4317
Phone
(248) 951-8180
Fax
(855) 624-8161
NPI assigned
Mar 18, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Randal C. Bruce, PH.D.NPI 1306834551
Title
Managing Partner
Phone
(248) 624-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TR0400X 6301007332 MI Primary

Addresses

Primary practice location

1000 John R Rd Ste 211
Troy, MI 48083-4317

Mailing address

PO Box 1500
Troy, MI 48099-1500
Phone (248) 624-8181

Other practice location 1

1350 E West Maple Rd
Suite 2
Walled Lake, MI 48390-3727
Phone (248) 624-8181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1891037735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991500",
            "telephone_number": "248-624-8181",
            "fax_number": "855-624-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHN R RD STE 211",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834317",
            "telephone_number": "248-951-8180",
            "fax_number": "855-624-8161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 E West Maple Rd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Walled Lake",
            "state": "MI",
            "postal_code": "483903727",
            "country_code": "US",
            "telephone_number": "248-624-8181",
            "fax_number": "855-624-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASPIRE REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "248-624-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "MI",
            "license": "6301007332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.