Individual provider Active NPI

Susan Alison Risi, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Ann Arbor, MI
National Provider Identifier
1972853570
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
6301012532 Issued in MI
Practice address
1565 Eastover PL
Ann Arbor, MI 48104-6316
Phone
(734) 741-8844
Fax
(734) 741-9038
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6301012532 MI Primary

Addresses

Primary practice location

1565 Eastover PL
Ann Arbor, MI 48104-6316

Mailing address

1717 Cherokee Rd
Ann Arbor, MI 48104-4498
Phone (734) 846-9620

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Psychological Consultants, P.C. Past Accepting new patients
North Country Community Mental Health PastSince Jan 13, 2018 Accepting new patients

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1972853570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 CHEROKEE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044498",
            "telephone_number": "734-846-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 EASTOVER PL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046316",
            "telephone_number": "734-741-8844",
            "fax_number": "734-741-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISI",
        "first_name": "SUSAN",
        "middle_name": "ALISON",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301012532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.