Active NPI
Donald Proux, MD
- Psychiatry Physician
- Caro, MI
National Provider Identifier
1053422683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301026400
- Practice address
- 1332 Prospect Ave
Caro, MI 48723-9288 - Phone
- (989) 673-6191
- Fax
- (989) 672-3053
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301026400 | MI | Primary |
Addresses
Primary practice location
1332 Prospect Ave
Caro, MI 48723-9288
Mailing address
323 N State St
PO Box 239
Caro, MI 48723-1537
Phone (989) 673-6191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4730866 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301026400 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| List Psychological Services, PLC | Psychiatry | Past | Accepting new patients |
| State of Michigan Office of Financial Management | Past | Accepting new patients | |
| Tuscola County Community Mental Health Services Board | Past | Accepting new patients | |
| State of Michigan Office of Financial Management | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Caro Psychiatric Hospital
- Psychiatric Hospital
- Caro, MI
- NPI 1194767996
-
dba Michigan Veteran Homes at Chesterfield Twp
- Skilled Nursing Facility
- Chesterfield, MI
- NPI 1497342653
-
dba Tuscola Behavioral Health Systems
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caro, MI
- NPI 1275644775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1053422683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 N STATE ST",
"address_2": "PO BOX 239",
"city": "CARO",
"state": "MI",
"postal_code": "487231537",
"telephone_number": "989-673-6191",
"fax_number": "989-673-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 PROSPECT AVE",
"city": "CARO",
"state": "MI",
"postal_code": "487239288",
"telephone_number": "989-673-6191",
"fax_number": "989-672-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROUX",
"first_name": "DONALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301026400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4730866",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caro, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.