Kimberly Rorick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601011370 Issued in MI

Practice address

30300 Telegraph Rd Ste 310
Bingham Farms, MI 48025-5822

Phone

(248) 468-1889

NPI assigned

Oct 16, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Psychiatry Services PC

  • Psychiatry Physician
  • Bingham Farms, MI
  • NPI 1790078558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1003579004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 BIG SKY TRL",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30300 TELEGRAPH RD STE 310",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255822",
            "telephone_number": "248-468-1889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14671 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482393300",
            "country_code": "US",
            "telephone_number": "313-948-3055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RORICK",
        "first_name": "KIMBERLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-16",
        "last_updated": "2024-01-05",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Jordan Ann Rose
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• Susan Rosen
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• Physician Assistant in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.