Organization Active NPI

Steven K Huprich PHD PLC

  • Clinical Psychologist
  • Northville, MI
National Provider Identifier
1962038695
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STEVEN K HUPRICH PHD PLC
Practice address
107 E Main St Ste 204
Northville, MI 48167-1566
Phone
(248) 807-2159
Fax
(734) 207-5326
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Steven K Huprich, PHD - PSYDNPI 1386773745
Title
PHD / Owner
Phone
(248) 807-2159

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

107 E Main St Ste 204
Northville, MI 48167-1566

Mailing address

107 E Main St Ste 204
Northville, MI 48167-1566
Phone (248) 807-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230216001289 MI Part B Supplier - Clinic/Group Practice 0345612511 Receives reassigned benefits from 1 practitioner
Practice locations: Northville, MI

National Provider Directory

National Provider Directory

Locations

107 E Main St
Ste 204
Northville, MI 48167
Phone (248) 764-5751

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": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1962038695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST STE 204",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671566",
            "telephone_number": "248-807-2159",
            "fax_number": "734-207-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST STE 204",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671566",
            "telephone_number": "248-807-2159",
            "fax_number": "734-207-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN K HUPRICH PHD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "HUPRICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHD / OWNER",
        "authorized_official_telephone_number": "248-807-2159",
        "authorized_official_credential": "PHD - PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.