Organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MICHIGAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MICHIGAN
Authorized official
DAVID CHRISTOPHER MILLER MD (PRESIDENT)
(734) 936-3568
Entity
Organization
Contact information
Practice address
8001 CHALLIS ROAD, BRIGHTON, MI 48116-7446
(810) 227-9510
Mailing address
3621 S STATE ST, PROVIDER ENROLLMENT, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
MI
103T00000X
Psychologist
—
MI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
MI
103TB0200X
Cognitive & Behavioral Psychologist
—
MI
103TC0700X
Clinical Psychologist
Primary
—
MI
103TC1900X
Counseling Psychologist
—
MI
103TC2200X
Clinical Child & Adolescent Psychologist
—
MI
103TF0000X
Family Psychologist
—
MI
103TH0100X
Health Service Psychologist
—
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
MI
103TP2701X
Group Psychotherapy Psychologist
—
MI
Other
Enumeration date
08/03/2012
Last updated
04/30/2021
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