University Physician Group, NPI 1356556575
Counselor in Livonia, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1356556575 |
| NPI Entity Type | Organization |
| Provider Name |
University Physician Group
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 16836 Newburgh Rd, Livonia, MI, US |
| Provider Mailing Address | 1560 E Maple Rd, Ste 400-credentialing Dept., Troy, MI, US, 480831138 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Jeffery P Kohlitz |
| Official Position | CHIEF FINANCIAL OFFICER |
| Phone | 248-581-5930 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Counselor |
| Classification | |
| Group | |
| Description | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No | |||||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0P30630 | MI | MEDICARE GROUP # - MD/DO | 01 |
| 0P32120 | MI | MEDICARE GROUP # - MD/DO FEE LOCALITY 99 | 01 |
| 0H22830 | MI | BCBSM GROUP # - NP | 01 |
| 0H22832 | MI | BCBSM GROUP # - MD/DO | 01 |
| 0H22872 | MI | BCBSM GROUP # - SOCIAL WORKER | 01 |
| 0P32060 | MI | MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST | 01 |
| 0P32050 | MI | MEDICARE GROUP # - SOCIAL WORKER | 01 |
| 0H22874 | MI | BCBSM GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST | 01 |
| 0P32180 | MI | MEDICARE GROUP # - NP | 01 |
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DR. DO, MPH Jimmy Wayne Brandon Individual |
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