Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastern Michigan University

Organization Clinical Psychologist · NPI 1568730281

Eastern Michigan University is a Clinical Psychologist in Ypsilanti, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Specialties on file
5

Practice location Address checks out

1055 Cornell Rd Fletcher Bldg
Ypsilanti, MI 48197-1657
Phone: (734) 485-2890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5201007984 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1780989020 (MI)
Specialist Taxonomy 174400000X · Licence 23317193 (MI)
Specialist Taxonomy 174400000X · Licence 1699070656 (MI)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 1215113246 (MI)

Record details

NPI number1568730281
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristine Kastle-Ruether — Managing Director · (734) 487-2890
Other names Autism Collaborative Center; Autism Collaborative Center
NPI enumeratedDecember 8, 2011
Last updated in NPPESJanuary 15, 2019
Mailing address1055 Cornell Rd, Fletcher Building, Acc Main Office, Ypsilanti, MI 48197-1657

Other providers in Ypsilanti