Individual provider Active NPI

Carolyn Ann Alaimo, PHD

  • Clinical Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1902939671
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006565 Issued in MI
Practice address
36400 Woodward Ave
Suite 228
Bloomfield Hills, MI 48304-0911
Phone
(248) 645-2835
Fax
(248) 723-0097
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301006565 MI Primary

Addresses

Primary practice location

36400 Woodward Ave
Suite 228
Bloomfield Hills, MI 48304-0911

Mailing address

36400 Woodward Ave
Suite 228
Bloomfield Hills, MI 48304-0911
Phone (248) 645-2835

Other identifiers 2

IdentifierTypeStateIssuer
680F391720OtherMIBCBSM
680F331970OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000544 MI Practitioner - Clinical Psychologist 5193908291 Practice locations: Bloomfield Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36400 Woodward Ave
Suite 228
Bloomfield Hills, MI 48304-0914
Phone (248) 645-2835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1902939671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE",
            "address_2": "SUITE 228",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040911",
            "telephone_number": "248-645-2835",
            "fax_number": "248-723-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE",
            "address_2": "SUITE 228",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040911",
            "telephone_number": "248-645-2835",
            "fax_number": "248-723-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAIMO",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "680F391720",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "680F331970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.