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Contact Information

UNIVERSITY OF MICHIGAN PSYCHOLOGICAL CLINIC
210 S 5TH AVE
ANN ARBOR, MI48104
 Phone: 734-615-7853
 Fax: 734-764-8128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Mental Health

261QM0850X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF MICHIGAN PSYCHOLOGICAL CLINIC

NPI # 1427229095
LBN Legal business name UNIVERSITY OF MICHIGAN PSYCHOLOGICAL CLINIC
Authorized official MEAGJAN FESLER - (CLINIC AND OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/21/2008
Last updated 07/25/2024 - More than a year ago
Identifiers
MI Other 1518065986 NPPES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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