Nicole Czech, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017135 Issued in MI

Practice address

4250 Woodward Ave
Detroit, MI 48201-1818

Phone

(313) 446-8021

Fax

(313) 833-3393

NPI assigned

Dec 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gesher Human Services

  dba JVS, Jewish Vocational Service

  • Adult Mental Health Clinic/Center
  • Southfield, MI
  • NPI 1043344385
  NPD
• Gesher Human Services

  • Adult Mental Health Clinic/Center
  • Detroit, MI
  • NPI 1477638435
  NPD

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922344670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011818",
            "telephone_number": "313-446-8021",
            "fax_number": "313-833-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011818",
            "telephone_number": "313-446-8021",
            "fax_number": "313-833-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25507 Ecorse Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481801555",
            "country_code": "US",
            "telephone_number": "313-292-7640",
            "fax_number": "313-292-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZECH",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015073",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Care You Need Today Have Instantly Arrived
• Cyprian Center Inc.
• Rosemary Cyriac
• Andrzej Czaja
• Andrea K Czar, CRNA
• Cheryl Lynn Czerwinski, PHARM.D.
• Evan Paul Czerwonka, DO
• Alison M Czischkel, LBSW
• Thomas James Czolgosz, M.D.
• Tracybeth Czopek

• Clinical Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.