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NORTHBROOK PSYCHOLOGICAL CLINIC PLC NPI 1841279288


NPI Information

NPI: 1841279288
Provider Name: NORTHBROOK PSYCHOLOGICAL CLINIC PLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
43450 W 10 MILE RD
NOVI, MI
ZIP 48375
Phone: (248) 344-7420
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NORTHBROOK PSYCHOLOGICAL CLINIC PLC is a psychologist in Novi, MI. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. NORTHBROOK PSYCHOLOGICAL CLINIC PLC NPI is 1841279288. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

43450 W 10 MILE RD
NOVI, MI
ZIP 48375-172
Phone: (248) 344-7420
Fax: (248) 344-7423

The provider's authorized official is Pamela D Kresta .
The authorized official title is Owner and has the following contact phone number (248) 344-7420.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 10/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10N96610MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
20N81300MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
38008927170OTHERMICHIGANBCBS SOCIAL WORKER

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: 4/28/2024

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