Healthcare Provider Details

I. General information

NPI: 1811882558
Provider Name (Legal Business Name): YPSILANTI PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 S WALLACE BLVD
YPSILANTI MI
48197-4678
US

IV. Provider business mailing address

275 S WALLACE BLVD
YPSILANTI MI
48197-4678
US

V. Phone/Fax

Practice location:
  • Phone: 734-789-4658
  • Fax:
Mailing address:
  • Phone: 503-459-9525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ERINN CAMERON
Title or Position: OWNER AND CLINICAL LEAD
Credential: PHD
Phone: 503-459-9525