DR. AMI SHETH ANTONUCCI PH.D.
NPI 1144432774
Clinical Neuropsychologist in Bingham Farms, MI
- Individual
- Female
- Clinical Neuropsychologist
About AMI ANTONUCCI
This page provides the complete NPI Profile along with additional information for Ami Antonucci, a provider established in Bingham Farms, Michigan with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1144432774 assigned on May 2007. The practitioner's primary taxonomy code is 103G00000X with license number 6301012812 (MI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1144432774 Verify this NPI
- Provider Name
- DR. AMI SHETH ANTONUCCI PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 31600 TELEGRAPH RD STE 250 BINGHAM FARMS, MI 48025
- Location Phone
- (248) 690-6993
- Mailing Address
- 31600 TELEGRAPH RD STE 250 BINGHAM FARMS, MI 48025
- Mailing Phone
- (248) 690-6993
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-04-2007
- Last Update Date
- 11-28-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301012812
- License State
- MI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | 6301012812 (MI) |
| 2 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 6301012812 (MI) |
| 3 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | 6301012812 (MI) |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
BINGHAM FARMS, MI 48025
BINGHAM FARMS, MI 48025
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144432774, enumerated as an "individual" on May 04, 2007.
The provider is located at 31600 TELEGRAPH RD STE 250 BINGHAM FARMS, MI 48025 and the phone number is (248) 690-6993.
Clinical Neuropsychologist with taxonomy code 103G00000X.
