Active NPI
Patricia Compos
- Adult Mental Health Clinic/Center
- Wyandotte, MI
National Provider Identifier
1003244732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 6301012050
- Legal business name
- PATRICIA COMPOS
- Practice address
- 2514 Biddle Ave
Wyandotte, MI 48192-7891 - Phone
- (734) 558-8643
- NPI assigned
- Oct 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia L Compos, PH.D.
- Title
- Opwner/Psychologist
- Phone
- (734) 558-8643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 6301012050 | MI | Primary |
Addresses
Primary practice location
2514 Biddle Ave
Wyandotte, MI 48192-7891
Mailing address
20678 Meridian Rd
Grosse Ile, MI 48138-1278
Phone (734) 558-8643
National Provider Directory
National Provider DirectoryLocations
2514 Biddle Ave
Wyandotte, MI 48192
Phone (313) 283-0821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381795200000",
"number": "1003244732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20678 MERIDIAN RD",
"city": "GROSSE ILE",
"state": "MI",
"postal_code": "481381278",
"telephone_number": "734-558-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481927891",
"telephone_number": "734-558-8643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA COMPOS",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-15",
"last_updated": "2013-10-15",
"status": "A",
"authorized_official_last_name": "COMPOS",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OPWNER/PSYCHOLOGIST",
"authorized_official_telephone_number": "734-558-8643",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MI",
"license": "6301012050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.