Individual provider Active NPI

Pamela Warner Marsh, PSY.D.

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1962565366
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301011372 Issued in MI
Practice address
31330 Northwestern Hwy
Suite D
Farmington Hills, MI 48334-2560
Phone
(248) 860-2024
Fax
(248) 737-9963
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301011372 MI Primary

Addresses

Primary practice location

31330 Northwestern Hwy
Suite D
Farmington Hills, MI 48334-2560

Mailing address

5575 Tadworth PL
West Bloomfield, MI 48322-4016
Phone (248) 860-2024

Other identifiers 1

IdentifierTypeStateIssuer
68-F3-3318-0OtherMIBCBSM-PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202003049 MI Practitioner - Clinical Psychologist 9335672153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pamela Warner Marsh Psy D PLLCGroup PAC ID 4981137700, 2 clinicians

Practice addresses (Care Compare)

26711 Woodward Ave
Suite 306
Huntington Woods, MI 48070-1369
Phone (257) 860-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Warner Marsh Psy D PLLC Clinical CurrentSince Jan 1, 2023 Accepting new patients
Pamela Warner Marsh, Psy.D., PLLC Clinical Current Accepting new patients

Locations

26711 Woodward Ave
Ste 306
Huntington Woods, MI 48070
Phone (248) 860-2024

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1962565366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 TADWORTH PL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224016",
            "telephone_number": "248-860-2024",
            "fax_number": "248-737-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31330 NORTHWESTERN HWY",
            "address_2": "SUITE D",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342560",
            "telephone_number": "248-860-2024",
            "fax_number": "248-737-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "PAMELA",
        "middle_name": "WARNER",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM-PIN",
            "identifier": "68-F3-3318-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.