Miriam a. Engstrom, PSYD, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIRIAM A. ENGSTROM, PSYD, LLC

Practice address

16845 Kercheval Ave Ste 6B
Grosse Pointe Park, MI 48230-1567

Phone

(313) 690-2468

Fax

(313) 733-2468

NPI assigned

Jan 5, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miriam Engstrom, PSYD, LPNPI 1255421293

Title

Clinical Psychologist

Phone

(313) 690-2468

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miriam Ann Engstrom, PSYD, LP

  • Clinical Psychologist
  • Grosse Pointe Park, MI
  • NPI 1255421293
  Medicare reassignment Care Compare group NPD Authorized official
• Alison Pacifici, LMSW

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1558036152
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1982474359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16924 SAINT PAUL ST",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301549",
            "telephone_number": "313-690-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16845 KERCHEVAL AVE STE 6B",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301567",
            "telephone_number": "313-690-2468",
            "fax_number": "313-733-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM A. ENGSTROM, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "ENGSTROM",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "313-690-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Michele Martin, M.A. CCC-SLP
• Mecca Staffing Solutions Mihp LLC (Mecca Staffing Solutions)
• Megan Gunnell, LMSW
• Lindsey Ann Mestdagh, PHYSICIAN ASSISTANT
• Matthew D Michels
• Mobile Speech for Children LLC
• Damon Moore
• Diana Mousseau, LCSW
• Moving Forward Physical Therapy
• Krishna Mrakovcic, MSCN

• Mental Health Counselor in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.