Organization Active NPI

Center for Intergrated Neurology PLC

  • Clinic/Center
  • Novi, MI
National Provider Identifier
1073856704
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301079196 Issued in MI
Legal business name
CENTER FOR INTERGRATED NEUROLOGY PLC
Practice address
43000 W 9 Mile Rd
Ste 110
Novi, MI 48375-4180
Phone
(248) 277-3334
Fax
(248) 277-3337
NPI assigned
Apr 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Mr. John D Russell
Title
Executive Director
Phone
(313) 228-0930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301079196 MI Primary

Addresses

Primary practice location

43000 W 9 Mile Rd
Ste 110
Novi, MI 48375-4180

Mailing address

43000 W 9 Mile Rd
Ste 110
Novi, MI 48375-4180
Phone (248) 277-3334

National Provider Directory

National Provider Directory

Locations

23965 Novi Rd
Ste 120
Novi, MI 48375
Phone (248) 277-3334

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1073856704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43000 W 9 MILE RD",
            "address_2": "STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754180",
            "telephone_number": "248-277-3334",
            "fax_number": "248-277-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43000 W 9 MILE RD",
            "address_2": "STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754180",
            "telephone_number": "248-277-3334",
            "fax_number": "248-277-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTERGRATED NEUROLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-228-0930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301079196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.