Organization Active NPI

Our Mental Health PLLC

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1912480682
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
OUR MENTAL HEALTH PLLC
Practice address
24477 Buchanan CT Apt 1887
Farmington Hills, MI 48335-2161
Phone
(248) 474-8763
Fax
(734) 207-5326
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Authorized official

Name
Leonard McCulloch, LLP
Title
LLP/Owner
Phone
(248) 474-8763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

24477 Buchanan CT Apt 1887
Farmington Hills, MI 48335-2161

Mailing address

24477 Buchanan CT Apt 1887
Farmington Hills, MI 48335-2161
Phone (248) 474-8763

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1912480682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24477 BUCHANAN CT APT 1887",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352161",
            "telephone_number": "248-474-8763",
            "fax_number": "734-207-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24477 BUCHANAN CT APT 1887",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352161",
            "telephone_number": "248-474-8763",
            "fax_number": "734-207-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "LLP/OWNER",
        "authorized_official_telephone_number": "248-474-8763",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.