Performance Psychology

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6301009306 Issued in MI

Legal business name

PERFORMANCE PSYCHOLOGY

Practice address

9287 Silverside
South Lyon, MI 48178-9316

Phone

(586) 764-0637

Fax

(810) 695-0343

NPI assigned

Jul 20, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Todd John Nadeau, M.A., LLPNPI 1255595914

Title

President

Phone

(586) 764-0637

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd John Nadeau, M.A., LLP

  • Rehabilitation Psychologist
  • South Lyon, MI
  • NPI 1255595914
  NPD (past) Authorized official

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

{
    "created_epoch": "1216512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216512000000",
    "number": "1891950895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9287 SILVERSIDE",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789316",
            "telephone_number": "586-764-0637",
            "fax_number": "810-695-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9287 SILVERSIDE",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789316",
            "telephone_number": "586-764-0637",
            "fax_number": "810-695-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-20",
        "last_updated": "2008-07-20",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-764-0637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., LLP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301009306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Corte, LMSW
• Paul L Simon DDS PLC
• Ryan Edward Pawloski, PT, DPT
• Jamie J Penn, D.C.
• Jessica Pepper, DPT
• Diane Lynn Perry, ACSM-CEP
• Personalized Hearing Care
• Reggie Philip
• Margaret C Pierce, MS, CCC-SLP
• Diane Marie Pitak, DDS

• Community/Behavioral Health Agency in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2008; 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.