Henry M Traurig, M.A.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6301006840 Issued in MI

Practice address

905 S Center St
Royal Oak, MI 48067-3230

Phone

(248) 644-8533

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Henry M Traurig, PC

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1265053029

  Clinical Child & Adolescent

  NPD Authorized official
• Birmingham Maple Clinic

  • Counselor
  • Troy, MI
  • NPI 1558412551
  NPD (past)
• Jeffrey a. London MD PC

  • Medical Specialty Clinic/Center
  • Troy, MI
  • NPI 1861708257
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1891907838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10734 ELGIN AVE",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701506",
            "telephone_number": "248-496-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S CENTER ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673230",
            "telephone_number": "248-644-8533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17320 W 12 Mile Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762102",
            "country_code": "US",
            "telephone_number": "248-644-8533",
            "fax_number": "248-557-4697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAURIG",
        "first_name": "HENRY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301006840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "henrymtraurigpc@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "905 S Center St",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480673230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lance David Trainor
• Pamela Tramell-Gilliam
• Kien Tran
• Sara Grace Tran, PA-C
• Tony Tran, MD
• Michael Allen Traylor, PA
• Lindsey Kathryn Trebilcock, OTR/L
• Kaitlin Nicole Trentacost, DNP
• Matthew Trese, DO
• Jessica Keil Triest, M.D.

• Clinical Child & Adolescent Psychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Child & Adolescent Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.