Individual provider Active NPI

Ann Abbey, MA, LLP, RYT

  • Psychologist
  • Royal Oak, MI
National Provider Identifier
1962034736
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361007557 Issued in MI
Practice address
418 N Main St Ste 200
Royal Oak, MI 48067-1813
Phone
(248) 554-7398
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361007557 MI Primary

Addresses

Primary practice location

418 N Main St Ste 200
Royal Oak, MI 48067-1813

Mailing address

418 N Main St Ste 200
Royal Oak, MI 48067-1813
Phone (248) 554-7398

Other practice location 1

81 Indianwood Rd
Lake Orion, MI 48362-1595
Phone (248) 554-7398

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6361007557MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1962034736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671813",
            "telephone_number": "248-554-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671813",
            "telephone_number": "248-554-7398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Indianwood Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483621595",
            "country_code": "US",
            "telephone_number": "248-554-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBEY",
        "first_name": "ANN",
        "credential": "MA, LLP, RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 30, 2021; 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.