INTERFACE I PC
NPI 1801912753
Psychologist - Clinical Child & Adolescent in Waterford, MI

Active since March 22, 2007
4170 PONTIAC LAKE RD, WATERFORD, MI 48328(248) 674-2659(248) 674-2659 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PATRICIA ARMSTRONG PH.D.

Authorized Official Title
OWNER
Authorized Official Phone
(248) 674-2659

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
1801912753MEDICARE PIN (08)MI 
680F330170OTHER (01)MIBCBSM

Reviews for INTERFACE I PC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (Dental Public Health)
4170 PONTIAC LAKE RD
WATERFORD, MI 48328
Dentist (Dental Public Health)
4170 PONTIAC LAKE RD
WATERFORD, MI 48328
Dentist (General Practice)
4170 PONTIAC LAKE RD
WATERFORD, MI 48328

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.