Andrea E Nowak, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301070428 Issued in MI

Practice address

409 Plymouth Rd
Suite 126
Plymouth, MI 48170-1497

Phone

(734) 404-7002

Fax

(734) 468-0465

NPI assigned

Jul 28, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Karalee Associates PCGroup PAC ID 0446211676, 8 clinicians

Green Rose Counseling PLLCGroup PAC ID 6103152152, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Andrea Nowak MD PC

  • Psychiatry Physician
  • Plymouth, MI
  • NPI 1619372299
  Medicare reassignment NPD Authorized official
• Green Rose Counseling PLLC

  • Clinical Social Worker
  • Plymouth, MI
  • NPI 1639735061

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Karalee Associates PC

  • Cognitive & Behavioral Psychologist
  • Plymouth, MI
  • NPI 1497865802
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1013921857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD",
            "address_2": "SUITE 126",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701497",
            "telephone_number": "734-404-7002",
            "fax_number": "734-468-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD",
            "address_2": "SUITE 126",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701497",
            "telephone_number": "734-404-7002",
            "fax_number": "734-468-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "ANDREA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301070428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR ANDREA NOWAK MD PC (PRIVATE PRACTICE)",
            "identifier": "1619372299",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR KARALEE & ASSOCIATES PC",
            "identifier": "1497865802",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northville OBGYN PC
• Northville Urgent Care P.C.
• Heather Norton
• Saima Nosheen
• Misty Novakowski, REGISTERED NURSE
• Melissa Ansara Nunu
• Hayley Nur
• Kallie Nusbaum
• Jessica Nye
• Laura Nye, CCC-SLP

• Psychiatry Physician in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.