Individual provider Active NPI

Carol Lynn Digiuseppe, MS

  • Clinical Psychologist
  • Westland, MI
National Provider Identifier
1992945190
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301007209 Issued in MI
Practice address
8623 N Wayne Rd
Suite 200
Westland, MI 48185-1137
Phone
(734) 458-4601
Fax
(734) 458-4611
NPI assigned
Feb 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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 6301007209 MI Primary

Addresses

Primary practice location

8623 N Wayne Rd
Suite 200
Westland, MI 48185-1137

Mailing address

8623 N Wayne Rd
Suite 200
Westland, MI 48185-1137
Phone (734) 458-4601

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
6301007209MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1992945190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 N WAYNE RD",
            "address_2": "SUITE 200",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851137",
            "telephone_number": "734-458-4601",
            "fax_number": "734-458-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 N WAYNE RD",
            "address_2": "SUITE 200",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851137",
            "telephone_number": "734-458-4601",
            "fax_number": "734-458-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIUSEPPE",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.