Engel Mind Body Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ENGEL MIND BODY PSYCHIATRY PLLC

Practice address

4620 N US Highway 31 N
Traverse City, MI 49686-3757

Phone

(231) 938-2010

Fax

(231) 938-2012

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Michael Engel, D.O.NPI 1366400475

Title

President

Phone

(231) 938-2010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Engel, DO

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1366400475
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Berg, RN NP

  • Nurse Practitioner
  • Kewadin, MI
  • NPI 1699733709
  Medicare reassignment Care Compare group NPD
• William E Nowak, D.O.

  • Obstetrics & Gynecology Physician
  • Acme, MI
  • NPI 1194902163
  NPD (past)

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": "1043318025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496010213",
            "telephone_number": "231-775-6076",
            "fax_number": "231-775-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N US HIGHWAY 31 N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863757",
            "telephone_number": "231-938-2010",
            "fax_number": "231-938-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGEL MIND BODY PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-938-2010",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Ensign

• Psychiatry Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Psychiatry Physician in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.