Healthcare Provider Details

I. General information

NPI: 1194752980
Provider Name (Legal Business Name): JAMES RONALD BARREN PSYCHOLOGIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20542 HARPER AVE
HARPER WOODS MI
48225-1693
US

IV. Provider business mailing address

20542 HARPER AVE
HARPER WOODS MI
48225-1693
US

V. Phone/Fax

Practice location:
  • Phone: 313-304-2903
  • Fax: 313-882-5405
Mailing address:
  • Phone: 313-304-2903
  • Fax: 313-882-5405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401002571
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6301011742
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: