Provider Type Icon

MOMENTUM REHABILITATION SERVICES INC. NPI 1730308115


NPI Information

NPI: 1730308115
Provider Name: MOMENTUM REHABILITATION SERVICES, INC.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
7926 ANN ARBOR ST
DEXTER, MI
ZIP 48130
Phone: (734) 320-2497
Get Directions

MOMENTUM REHABILITATION SERVICES, INC. is a clinical neuropsychologist in Dexter, MI. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. MOMENTUM REHABILITATION SERVICES, INC. NPI is 1730308115. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7926 ANN ARBOR ST
DEXTER, MI
ZIP 48130-344
Phone: (734) 320-2497
Fax: (810) 231-0771

The provider's authorized official is Terry L Braciszewski .
The authorized official title is Director and has the following contact phone number (734) 320-2497.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 4/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist6301006431MICHIGANNo
2103TB0200XPsychologistCognitive & Behavioral6301006431MICHIGANNo
3103TC0700XPsychologistClinical6301006431MICHIGANNo
4103TP2701XPsychologistGroup Psychotherapy6301006431MICHIGANNo
5103TR0400XPsychologistRehabilitation6301006431MICHIGANNo
6103TH0100XPsychologistHealth Service6301006431MICHIGANNo
7103G00000XClinical Neuropsychologist6301006431MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1680H146930OTHERMICHIGANBCBSM
2610093200OTHEROHIOOWCS ACS
3OD74512OTHERTRUST
4S01175MEDICARE UPIN
50N74040MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.