Evan Harwood, TLLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6362009973 Issued in MI

Practice address

7035 Orchard Lake Rd Ste 800
West Bloomfield, MI 48322-5301

Phone

(248) 669-9500

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1902636681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 WESTOVER DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232867",
            "telephone_number": "248-930-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 ORCHARD LAKE RD STE 800",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483225301",
            "telephone_number": "248-669-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "EVAN",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Kaitlyn Hartman
• Tiffany Renee Hartman, OTRL
• Vida Hartz, MA, LLPC, NCC
• Cessalyn Harvey, PA-C
• Nancy Jane Harvey, PT, DPT
• Tiffany Amber Harwood, PHARMD
• Yasmine Santina Hassan, PA-C
• Donna M Hassoun, DDS
• Michael S Haupert, DO
• Hawkins Collective LLC

• Clinical Psychologist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.