Tresavon Delaney Parker III, MA, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P626802139810 Issued in MI

Practice address

13213 E 14 Mile Rd
Sterling Heights, MI 48312-6302

Phone

(586) 939-4518

Fax

(586) 939-4783

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1992817050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29403 LAUREL DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312829",
            "telephone_number": "248-622-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13213 E 14 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126302",
            "telephone_number": "586-939-4518",
            "fax_number": "586-939-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TRESAVON",
        "middle_name": "DELANEY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "P626802139810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Parenteau, MA, CCC-SLP
• Katherine Ann Parish, D.O
• Amy Elizabeth Park-Goeddeke, LMSW
• Madelyn Nancy Parke
• Kayla Parker
• Darshi Mahesh Parmar, PHYSICAL THERAPIST
• Takia Parr
• Dennis Parrott
• Erick Rigo Pasaylo
• Daun Marguerite Pascaretti, OTRL

• Clinical Psychologist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.