NPIMap

Organization Active NPI

Emily Abbenante-Honold PHD, LLC

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1902208135
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015752 Issued in MI
Legal business name
EMILY ABBENANTE-HONOLD PHD, LLC
Practice address
2395 Oak Valley Dr
Ste 100
Ann Arbor, MI 48103-9118
Phone
(734) 995-7181
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Emily Abbenante-Honold, PHD
Title
Owner
Phone
(989) 245-4756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301015752 MI Primary

Addresses

Primary practice location

2395 Oak Valley Dr
Ste 100
Ann Arbor, MI 48103-9118

Mailing address

2395 Oak Valley Dr
Ste 100
Ann Arbor, MI 48103-9118

Other identifiers 1

IdentifierTypeStateIssuer
0H12011OtherBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1902208135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 OAK VALLEY DR",
            "address_2": "STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 OAK VALLEY DR",
            "address_2": "STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039118",
            "telephone_number": "734-995-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY ABBENANTE-HONOLD PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "ABBENANTE-HONOLD",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-245-4756",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0H12011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.