Active NPI
Changing Perceptions Therapy
- Community/Behavioral Health Agency
- Clinton TWP, MI
National Provider Identifier
1912273095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6301014870
- Legal business name
- CHANGING PERCEPTIONS THERAPY
- Practice address
- 18557 Canal Rd
Suite 3
Clinton TWP, MI 48038-5821 - Phone
- (586) 226-8440
- Fax
- (586) 226-8470
- NPI assigned
- Mar 22, 2012
- Last updated
- Jul 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deborah Lynn Conrad-Garrisi, PHD LLP
- Title
- Psychologist
- Phone
- (586) 226-8440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6301014870 | MI | Primary |
Addresses
Primary practice location
18557 Canal Rd
Suite 3
Clinton TWP, MI 48038-5821
Mailing address
18557 Canal Rd
Suite 3
Clinton TWP, MI 48038-5821
Phone (586) 226-8440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18557 Canal Rd
Ste 3
Clinton Twp, MI 48038
Phone (586) 226-8440
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Clinton TWP, MI
- NPI 1982884367
-
- Clinical Psychologist
- Farmington Hills, MI
- NPI 1598866485
-
- Psychologist
- Clinton Township, MI
- NPI 1649547639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343174400000",
"number": "1912273095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18557 CANAL RD",
"address_2": "SUITE 3",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480385821",
"telephone_number": "586-226-8440",
"fax_number": "586-226-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18557 CANAL RD",
"address_2": "SUITE 3",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480385821",
"telephone_number": "586-226-8440",
"fax_number": "586-226-8470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING PERCEPTIONS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-22",
"last_updated": "2012-07-25",
"status": "A",
"authorized_official_last_name": "CONRAD-GARRISI",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "586-226-8440",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD LLP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6301014870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.