Healthcare Provider Details

I. General information

NPI: 1033032016
Provider Name (Legal Business Name): AMERICAN HEALTH PSYCHOLOGY ASSESSMENT & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 PINE GROVE AVE STE 6
FORT GRATIOT MI
48059-4245
US

IV. Provider business mailing address

3900 PINE GROVE AVE STE 6
FORT GRATIOT MI
48059-4245
US

V. Phone/Fax

Practice location:
  • Phone: 313-403-1113
  • Fax:
Mailing address:
  • Phone: 810-662-0030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BREANNA THORNTON
Title or Position: CLINICAL HEALTH PSYCHOLOGIST
Credential: PSYD
Phone: 313-403-1113