University Physician Group in Detroit - Psychologist
University Physician Group - NPI 1265647481
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 1265647481. The last update date is 2016-10-26.
University Physician Group's current location address is 3901 Beaubien St, Detroit, Michigan. You can contact this provider via phone number 3137454878 and fax number 3139930282. The mailing address for University Physician Group is 3901 Beaubien St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | University Physician Group |
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Address | 3901 Beaubien St, Detroit, Michigan |
Phone Number | 3137454878 |
Fax Number | 3139930282 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF FINA |
---|---|
Authorized Official Name | Kohlitz P Jeffery |
Telephone Number | 2485815930 |
NPI Number Detail
NPI Number | 1265647481 |
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Provider Enumeration Date | 2007-05-11 |
Last Updated Date | 2016-10-26 |
Provider Mailing Address Detail
Address | 3901 Beaubien St |
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City | Detroit |
State | Michigan (MI) |
Post Code | 482012119 |
Phone Number | 3137454878 |
Fax Number | 3139930282 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
0H22832 | MI | BCBSM GROUP # - MD/DO | |
0H22872 | MI | BCBSM GROUP # - SOCIAL WORKER | |
0H22874 | MI | BCBSM GROUP # - PSYCHOLOGIST/N | |
0P32180 | MI | MEDICARE GROUP # - NP | |
0P32060 | MI | MEDICARE GROUP # - PSYCHOLOGIS | |
0P30630 | MI | MEDICARE GROUP # - MD/DO | |
0P32050 | MI | MEDICARE GROUP # - SOCIAL WORK | |
0H228310 | MI | BCBSM GROUP # - NP | |
0H22821 | MI | BCBSM GROUP # | |
0P32120 | MI | MEDICARE GROUP # - MD/DO FEE L |
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What is the unique 10-digit identifier code issued to University Physician Group by the Centers for Medicare & Medicaid Services?
The University Physician Group has been assigned the NPI (National Provider Identifier) 1265647481 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the University Physician Group located?
The University Physician Group is located at 3901 Beaubien St, Detroit, MI 482012119.
What is University Physician Group's area of expertise and its corresponding taxonomy classification?
The University Physician Group's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1265647481 assigned to University Physician Group?
The University Physician Group was issued its 1265647481 on 2007-05-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the University Physician Group's details last updated?
The information pertaining to the University Physician Group, including its address, specialty, and other details, was most recently updated on 2016-10-26.