Individual provider Active NPI

Camille Marie Tucci, LLP

  • Psychologist
  • Royal Oak, MI
National Provider Identifier
1922650894
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301009116 Issued in MI
Practice address
618 E 11 Mile Rd
Royal Oak, MI 48067-1962
Phone
(248) 629-5796
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301009116 MI Primary

Addresses

Primary practice location

618 E 11 Mile Rd
Royal Oak, MI 48067-1962

Mailing address

1522 W 12 Mile Rd
Royal Oak, MI 48073-3903
Phone (248) 398-4193

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address camille@tbhpsychologists.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301009116MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Reynolds PSYD LLC Past Accepting new patients
Stephanie Williams, PHD, LP, PLLC PastSince Sep 23, 2021 Accepting new patients
Pure Psychiatry of Michigan PLLC PastSince Mar 6, 2025 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1922650894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 W 12 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733903",
            "telephone_number": "248-398-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671962",
            "telephone_number": "248-629-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCCI",
        "first_name": "CAMILLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "camille@tbhpsychologists.com",
            "affiliation": "N",
            "address_1": "618 E 11 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480671962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.