University Physician Group, NPI 1356556575
Counselor in Livonia, MI, US

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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
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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

101Y00000X

Taxonomy Name Counselor
Classification

Counselor

Group

Behavioral Health & Social Service Providers

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.

Other Organization Name

Wayne State University Physician Group
Doing Business As

Business Address

University Physician Group
16836 Newburgh Rd

Livonia, MI, US

Phone: 734-464-4220
Fax: 734-464-5885

Mailing Address

University Physician Group
1560 E Maple Rd
Ste 400-credentialing Dept.
Troy, MI, US
ZIP 480831138
Phone: 248-581-5973
Fax: 248-581-5640

Secondary Taxonomies

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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Individual

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