Concepcion Ty Ancog, M.D., P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301404778 Issued in MI

Legal business name

CONCEPCION TY ANCOG, M.D., P.C.

Practice address

5528 Metropolitan Pkwy
Sterling Heights, MI 48310-4105

Phone

(586) 795-3232

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Concepcion Ty Ancog, M.D.

Title

Owner

Phone

(246) 646-5288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1033458393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7383 LAHSER RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483014049",
            "telephone_number": "248-646-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 METROPOLITAN PKWY",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104105",
            "telephone_number": "586-795-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPCION TY ANCOG, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "ANCOG",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_middle_name": "TY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "246-646-5288",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301404778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.