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LAKE MICHIGAN NEUROPSYCHOLOGY PLLC
NPI 1699470039
Psychologist - Clinical in Ann Arbor, MI

Active since April 04, 2023
900 VICTORS WAY STE 175, ANN ARBOR, MI 48108(734) 328-1991(734) 480-8987 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Michigan Neuropsychology Pllc NPPES

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

LAKE MICHIGAN NEUROPSYCHOLOGY PLLC (NPI 1699470039) is a healthcare organization registered as a clinical in Ann Arbor, Michigan and active in the NPI registry since April 2023. The organization lists Eduardo Montoya, Owner, as its authorized official.

NPPES Registry Identity

NPI1699470039
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLAKE MICHIGAN NEUROPSYCHOLOGY PLLC
Location Address900 VICTORS WAY STE 175Ann Arbor, MI 48108-5224
Mailing Address900 Victors Way Ste 175Ann Arbor, MI 48108-5224 · (734) 328-1991 · Fax (734) 480-8987
Phone(734) 328-1991
Fax(734) 480-8987
Organization SubpartNo
Authorized OfficialEduardo MontoyaOwner · (734) 328-1991
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1699470039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
900 VICTORS WAY STE 175, Ann Arbor, MI 48108
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. CRYSTAL CEDERNA PSYD
Psychologist
900 VICTORS WAY STE 175
ANN ARBOR, MI 48108
Washtenaw County (734) 968-2801
SPENCER NEUROPSYCHOLOGY SERVICES PLLC
Psychologist (Clinical)
900 VICTORS WAY STE 175
ANN ARBOR, MI 48108
Washtenaw County (734) 887-1202
CEDERNA CONSULTING, PLLC
Clinic/Center (Adolescent and Children Mental Health)
900 VICTORS WAY STE 175
ANN ARBOR, MI 48108
Washtenaw County (734) 968-2801

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 Lake Michigan Neuropsychology PLLC's NPI number?

The NPI number for Lake Michigan Neuropsychology PLLC is 1699470039. It was assigned to this organization in the NPPES registry on April 4, 2023.

Where is Lake Michigan Neuropsychology PLLC located?

Lake Michigan Neuropsychology PLLC is located at 900 Victors Way Ste 175, Ann Arbor, MI 48108. The listed phone number is (734) 328-1991.

What is Lake Michigan Neuropsychology PLLC'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 Lake Michigan Neuropsychology PLLC was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.