Center for Integrated Health and Well-Being, P.C.

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

Legal business name

CENTER FOR INTEGRATED HEALTH AND WELL-BEING, P.C.

Practice address

221 S Main St Ste 201
Royal Oak, MI 48067-2653

Phone

(248) 398-7574

Fax

(248) 398-6265

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Michael Kotlarz, PHD

Title

Owner/Licensed Psychologist

Phone

(248) 398-7574

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1073242632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST STE 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672653",
            "telephone_number": "248-398-7574",
            "fax_number": "248-398-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST STE 201",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672653",
            "telephone_number": "248-398-7574",
            "fax_number": "248-398-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTEGRATED HEALTH AND WELL-BEING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "KOTLARZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-398-7574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Psychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Health Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.