Tracey Lynn Stulberg, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101005410 Issued in MI

Practice address

1000 S Old Woodward Ave
108
Birmingham, MI 48009-6723

Phone

(248) 258-9189

Fax

(248) 258-2897

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

Yes

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

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992911580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE",
            "address_2": "108",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096723",
            "telephone_number": "248-258-9189",
            "fax_number": "248-258-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE",
            "address_2": "108",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096723",
            "telephone_number": "248-258-9189",
            "fax_number": "248-258-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULBERG",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Stein, LLP
• Robert L. Stephenson, M.D.
• Alina Stevenson, PSY.D.
• Caitlin Stoltman, CTRS
• Jay Alex Stone, D.D.S
• Suanne Zager, LMSW, Inc.
• Deborah Sukenic
• Lisa Susalla
• Susan Gross PSYD PLLC
• John M Sushko, DDS

• Marriage & Family Therapist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.