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

Organization Clinical Neuropsychologist · NPI 1053343004

Regents of the University of Michigan is a Clinical Neuropsychologist in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
11
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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Clinical Neuropsychologist Taxonomy 103G00000X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X
Forensic Psychiatry Physician Taxonomy 2084F0202X
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X
Clinical Neurophysiology Physician Taxonomy 2084N0600X (MI)
Neurodevelopmental Disabilities Physician Taxonomy 2084P0005X
Pain Medicine (Psychiatry & Neurology) Physician Taxonomy 2084P2900X
Sports Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0010X
Vascular Neurology Physician Taxonomy 2084V0102X

Record details

NPI number1053343004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Miller — President · (734) 936-3568
NPI enumeratedJuly 7, 2006
Last updated in NPPESMay 3, 2021
Certification dateApril 5, 2021
Mailing address3621 S State St, Provider Enrollment, Ann Arbor, MI 48108

Other providers in Ann Arbor