Provider Demographics
NPI:1821214339
Name:FINN, MICHAEL S (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:FINN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23985 NOVI RD
Mailing Address - Street 2:STE B104
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5436
Mailing Address - Country:US
Mailing Address - Phone:248-912-0080
Mailing Address - Fax:248-912-0208
Practice Address - Street 1:23985 NOVI RD
Practice Address - Street 2:STE B104
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5436
Practice Address - Country:US
Practice Address - Phone:248-912-0080
Practice Address - Fax:248-912-0208
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301006128103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
143007OtherCARE CHOICES
MI680H230410OtherBLUE CROSS BLUE SHIELD
360087100OtherACS-OWCP
043346OtherVALUE OPTIONS
025717OtherVMC
360087100OtherACS-OWCP
P89624Medicare UPIN