Individual provider Active NPI

Alicia Marie Weisensel, MS, LLP

  • Clinical Psychologist
  • Novi, MI
National Provider Identifier
1962918615
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015544 Issued in MI
Practice address
27780 Novi Rd Ste 107
Novi, MI 48377-3427
Phone
(781) 799-0968
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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 6301015544 MI Primary

Addresses

Primary practice location

27780 Novi Rd Ste 107
Novi, MI 48377-3427

Mailing address

9258 Abbey LN
Ypsilanti, MI 48198-9414
Phone (781) 799-0968

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 Science

State licenses

LicenseStateTypeSpecialty
6301015544MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alicia Weisensel, Ms PLLC Past Accepting new patients

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": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1962918615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9258 ABBEY LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989414",
            "telephone_number": "781-799-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27780 NOVI RD STE 107",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773427",
            "telephone_number": "781-799-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENSEL",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "MS, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.