NPIMap

Organization Active NPI

Michael J. Freedman, MD, P.C.

  • Psychiatry Physician
  • Southfield, MI
National Provider Identifier
1023117769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MF028738 Issued in MI
Legal business name
MICHAEL J. FREEDMAN, MD, P.C.
Practice address
24725 W 12 Mile Rd
Suite 310
Southfield, MI 48034-1801
Phone
(248) 351-0011
Fax
(248) 351-0017
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael J Freedman, M.D.NPI 1114062262
Title
Owner
Phone
(248) 351-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MF028738 MI Primary

Addresses

Primary practice location

24725 W 12 Mile Rd
Suite 310
Southfield, MI 48034-1801

Mailing address

24725 W 12 Mile Rd
Suite 310
Southfield, MI 48034-1801
Phone (248) 351-0011

Other identifiers 3

IdentifierTypeStateIssuer
1373563MedicaidMI
MF028738OtherMILICENSE NUMBER
2606303270OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

24725 W 12 Mile Rd
Ste 310
Southfield, MI 48034
Phone (248) 351-0011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023117769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24725 W 12 MILE RD",
            "address_2": "SUITE 310",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341801",
            "telephone_number": "248-351-0011",
            "fax_number": "248-351-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24725 W 12 MILE RD",
            "address_2": "SUITE 310",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341801",
            "telephone_number": "248-351-0011",
            "fax_number": "248-351-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. FREEDMAN, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-351-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "MF028738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1373563",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MF028738",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2606303270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.