ATHALIAH INGRAM
NPI 1518636364
Psychologist - Clinical in Troy, MI

Active since September 07, 2021
1777 AXTELL DR STE 100, TROY, MI 48084(248) 787-0855 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Athaliah Ingram NPPES

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

ATHALIAH INGRAM (NPI 1518636364) is an individual clinical provider in Troy, Michigan, licensed in Michigan (6362009351) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1518636364
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameATHALIAH INGRAM
Location Address1777 AXTELL DR STE 100Troy, MI 48084-4400
Mailing Address596 Marquette DrDetroit, MI 48214-3640 · (313) 461-9792
Sole ProprietorYes
Enumeration DateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
NPI 1518636364 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 · 6362009351
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.
1777 AXTELL DR STE 100, Troy, MI 48084

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.

Psychologist (Clinical)
1777 AXTELL DR STE 100
TROY, MI 48084
Counselor (Professional)
1777 AXTELL DR STE 100
TROY, MI 48084
Psychologist (Counseling)
1777 AXTELL DR STE 100
TROY, MI 48084
Psychologist
1777 AXTELL DR STE 100
TROY, MI 48084
Counselor
1777 AXTELL DR STE 100
TROY, MI 48084
Psychologist (Clinical)
1777 AXTELL DR STE 100
TROY, MI 48084
Counselor (Mental Health)
1777 AXTELL DR STE 100
TROY, MI 48084
Counselor (Mental Health)
1777 AXTELL DR STE 100
TROY, MI 48084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athaliah Ingram's NPI number?

The NPI number for Athaliah Ingram is 1518636364. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Athaliah Ingram located?

Athaliah Ingram practices at 1777 Axtell Dr Ste 100, Troy, MI 48084. The listed phone number is (248) 787-0855.

What is Athaliah Ingram's specialty?

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

When was this NPI record last updated?

The NPPES record for Athaliah Ingram was last updated on September 7, 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.