Individual provider Active NPI

Wendy Essenburg, PH.D.

  • Clinical Psychologist
  • Rochester Hills, MI
National Provider Identifier
1962650986
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012902 Issued in MI
Practice address
1460 Walton Blvd
Suite 218
Rochester Hills, MI 48309-1768
Phone
(248) 568-3125
Fax
(248) 608-6088
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 6301012902 MI Primary

Addresses

Primary practice location

1460 Walton Blvd
Suite 218
Rochester Hills, MI 48309-1768

Mailing address

1460 Walton Blvd
Suite 218
Rochester Hills, MI 48309-1768
Phone (248) 568-3125

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301012902MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shiloh Relationship Counseling, P.C. CurrentSince Feb 21, 2021 Accepting new patients

Locations

1460 Walton Blvd
Ste 218
Rochester Hills, MI 48309
Phone (248) 568-3125

Organizations & group practices 1

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1962650986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "address_2": "SUITE 218",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091768",
            "telephone_number": "248-568-3125",
            "fax_number": "248-608-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "address_2": "SUITE 218",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091768",
            "telephone_number": "248-568-3125",
            "fax_number": "248-608-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSENBURG",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.