INTERFACE I PC
NPI 1801912753
Psychologist - Clinical Child & Adolescent in Waterford, MI
- Organization
- Psychologist
- Clinical Child & Adolescent
About INTERFACE I PC
This page provides the complete NPI Profile along with additional information for Interface I Pc, a provider established in Waterford, Michigan operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1801912753 assigned on March 2007. The practitioner's primary taxonomy code is 103TC2200X with license number 6301007437 (MI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Patricia Armstrong Ph.d. (Owner)
- NPI
- 1801912753 Verify this NPI
- Provider Name
- INTERFACE I PC
- Entity Type
- Organization
- Location Address
- 4170 PONTIAC LAKE RD WATERFORD, MI 48328
- Location Phone
- (248) 674-2659
- Location Fax
- (248) 674-2659
- Mailing Address
- 4170 PONTIAC LAKE RD WATERFORD, MI 48328
- Mailing Phone
- (248) 674-2659
- Mailing Fax
- (248) 674-2659
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-22-2007
- Last Update Date
- 05-14-2008
- 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
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301007437
- License State
- MI
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1801912753 | MEDICARE PIN (08) | MI | |
| 680F330170 | OTHER (01) | MI | BCBSM |
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801912753, enumerated as an "organization" on March 22, 2007.
The provider is located at 4170 PONTIAC LAKE RD WATERFORD, MI 48328 and the phone number is (248) 674-2659.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.