University Physician Group in Detroit - Psychologist
University Physician Group - NPI 1366481160
University Physician Group is a Psychologist in Detroit, Michigan. University Physician Group practices all healthcare services and medical treatments related to Psychologist. The NPI Number for University Physician Group is 1366481160. The last update date is 2016-10-26.
University Physician Group's current location address is 3901 Chrysler Dr, Detroit, Michigan. You can contact this provider via phone number 8883627792 and fax number 3139931372. The mailing address for University Physician Group is 3901 Chrysler Dr, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Physician Group |
|---|---|
| Address | 3901 Chrysler Dr, Detroit, Michigan |
| Phone Number | 8883627792 |
| Fax Number | 3139931372 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Kohlitz P Jeffery |
| Telephone Number | 2485815930 |
NPI Number Detail
| NPI Number | 1366481160 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2016-10-26 |
Provider Mailing Address Detail
| Address | 3901 Chrysler Dr |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012167 |
| Phone Number | 8883627792 |
| Fax Number | 3139931372 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0H22874 | MI | BCBSM GROUP NUMBER | |
| 0P32060 | MI | MEDICARE GROUP # - PSYCHOLOGIS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to University Physician Group by the Centers for Medicare & Medicaid Services?
The University Physician Group has been issued the NPI (National Provider Identifier) 1366481160 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the University Physician Group's physical address?
The University Physician Group is physically located at 3901 Chrysler Dr, in the city of Detroit, MI, with the postal code 482012167.
What is the University Physician Group's specialty and taxonomy code?
The University Physician Group's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366481160 to University Physician Group?
The Centers for Medicare & Medicaid Services originally issued the 1366481160 to University Physician Group on 2006-06-06.
As of what date was the information pertaining to University Physician Group, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to University Physician Group, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-10-26.