Healthcare Provider Details
I. General information
NPI: 1831641539
Provider Name (Legal Business Name): VIEWPOINT PSYCHOLOGY AND WELLNESS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2016
Last Update Date: 01/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2075 E WEST MAPLE RD SUITE B205
COMMERCE TWP MI
48390-3816
US
IV. Provider business mailing address
2075 E WEST MAPLE RD SUITE B205
COMMERCE TWP MI
48390-3816
US
V. Phone/Fax
- Phone: 248-669-9500
- Fax: 248-669-9500
- Phone: 248-669-9500
- Fax: 248-669-9500
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MELANIE
SCHWARTZ
Title or Position: PSYCHOLOGIST/OWNER
Credential: PSY.D., L.P.
Phone: 248-669-9500