Organization Active NPI

Milan Behavioral and Pain Solutions

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Milan, MI
National Provider Identifier
1033445358
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
4301035476 Issued in MI
Legal business name
MILAN BEHAVIORAL AND PAIN SOLUTIONS
Practice address
3 E Main St
Suite C
Milan, MI 48160-1248
Phone
(734) 439-7480
Fax
(734) 439-1384
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Jose Owen Diaz
Title
Administrator
Phone
(734) 645-7289

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 4301035476 MI
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X 4301035476 MI Primary

Addresses

Primary practice location

3 E Main St
Suite C
Milan, MI 48160-1248

Mailing address

3 E Main St
Suite C
Milan, MI 48160-1248
Phone (734) 439-7480

Other identifiers 2

IdentifierTypeStateIssuer
0817222OtherBCBSM
1801941281OtherMINPI

National Provider Directory

National Provider Directory

Locations

3 E Main St
Ste C
Milan, MI 48160
Phone (734) 439-7480

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1033445358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E MAIN ST",
            "address_2": "SUITE C",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601248",
            "telephone_number": "734-439-7480",
            "fax_number": "734-439-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E MAIN ST",
            "address_2": "SUITE C",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601248",
            "telephone_number": "734-439-7480",
            "fax_number": "734-439-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAN BEHAVIORAL AND PAIN SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-645-7289"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301035476",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MI",
            "license": "4301035476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0817222",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801941281",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.