Healthcare Provider Details

I. General information

NPI: 1710030721
Provider Name (Legal Business Name): CAPPS ASSESSMENT PSYCHOLOGICAL & PSYCHO-EDUCATIONAL SERVICES, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20816 E 11 MILE RD SUITE 108
SAINT CLAIR SHORES MI
48081-1565
US

IV. Provider business mailing address

20816 E 11 MILE RD SUITE 108
SAINT CLAIR SHORES MI
48081-1565
US

V. Phone/Fax

Practice location:
  • Phone: 313-213-6377
  • Fax: 313-821-8392
Mailing address:
  • Phone: 313-213-6377
  • Fax: 313-821-8392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301008488
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801062346
License Number StateMI

VIII. Authorized Official

Name: DR. HARRY EDWARD CAPPS
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 313-213-6377