MRS. MICHELLE LEWIS MA, LLP - NPI 1104114966 - Psychologist in Detroit, MI

Q: What is Michelle Lewis's NPI number?

The NPI number for Michelle Lewis is 1104114966. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Q: What is Michelle Lewis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Lewis was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mrs. Michelle Lewis Ma, Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE LEWIS MA, LLP (NPI 1104114966) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6301010219) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1104114966

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMRS. MICHELLE LEWISCredential: MA, LLP

Location Address62 W 7 MILE RDDetroit, MI 48203-1967

Mailing Address19758 Patton StDetroit, MI 48219-2052 · (313) 244-4141

Phone(313) 893-6172

Fax(313) 893-0064

Sole ProprietorNo

Enumeration DateJuly 14, 2011

Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration

NPPES CertifiedOctober 21, 2021

✔ NPI 1104114966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301010219

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

62 W 7 MILE RD, Detroit, MI 48203

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Other Identifiers 1

Medicaid3434247MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHREN HAMI

Case Manager/Care Coordinator