Organization Active NPI

Holly Tacey Psychological Services P.L.L.C.

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1922854645
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HOLLY TACEY PSYCHOLOGICAL SERVICES P.L.L.C.
Practice address
5777 W Maple Rd Ste 177
West Bloomfield, MI 48322-2306
Phone
(248) 462-1798
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Holly Tacey, LLPNPI 1487129656
Title
Owner / Psychotherapist
Phone
(248) 462-1798

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5777 W Maple Rd Ste 177
West Bloomfield, MI 48322-2306

Mailing address

3040 Dalton Dr
Commerce TWP, MI 48390-3606
Phone (248) 462-1798

Other names 1

  • Allay Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1922854645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 DALTON DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483903606",
            "telephone_number": "248-462-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD STE 177",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222306",
            "telephone_number": "248-462-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY TACEY PSYCHOLOGICAL SERVICES P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "TACEY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "248-462-1798",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allay Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.