Dr Ami Sheth Antonucci, PHD is a
Clinical Neuropsychologist based in Bingham Farms, Michigan. Dr Ami Sheth Antonucci is licensed to practice in Michigan (license number 6301012812) and her current practice location is
31600 Telegraph Rd Ste 250, Bingham Farms, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 690-6993.
NPI number for Dr Ami Sheth Antonucci is 1144432774 and her current mailing address is 31600 Telegraph Rd Ste 250, Bingham Farms, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144432774.
Healthcare Provider's Profile
Full Name | Dr Ami Sheth Antonucci |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 31600 Telegraph Rd Ste 250, Bingham Farms, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144432774
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 11/28/2017
Medical Identifiers
Medical identifiers for Dr Ami Sheth Antonucci such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144432774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TA0700X | Psychologist - Adult Development & Aging | 6301012812 (Michigan) | Secondary |
103TC0700X | Psychologist - Clinical | 6301012812 (Michigan) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 6301012812 (Michigan) | Secondary |
103G00000X | Clinical Neuropsychologist | 6301012812 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ami Sheth Antonucci is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ami Sheth Antonucci, PHD 31600 Telegraph Rd Ste 250, Bingham Farms, MI 48025-4317 Ph: (248) 690-6993 | Dr Ami Sheth Antonucci, PHD 31600 Telegraph Rd Ste 250, Bingham Farms, MI 48025-4317 Ph: (248) 690-6993 |
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