Active NPI
Agnes Wrobel Psychiatry PLLC
- Addiction Psychiatry Physician
- Sterling Heights, MI
National Provider Identifier
1093373763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- Legal business name
- AGNES WROBEL PSYCHIATRY PLLC
- Practice address
- 41400 Dequindre Rd Ste 121
Sterling Heights, MI 48314-3751 - Phone
- (586) 843-3815
- NPI assigned
- May 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dawn Marie Suttle
- Title
- Medical Billing Manager
- Phone
- (248) 673-1441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | Primary |
Addresses
Primary practice location
41400 Dequindre Rd Ste 121
Sterling Heights, MI 48314-3751
Mailing address
5036 Dixie Hwy # 261
Waterford, MI 48330-0016
Phone (248) 673-1441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190711001489 | MI | Part B Supplier - Clinic/Group Practice | 3779818851 |
Receives reassigned benefits from 2 practitioners Practice locations: Sterling Heights, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559088000000",
"number": "1093373763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5036 DIXIE HWY # 261",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483300016",
"telephone_number": "248-673-1441",
"fax_number": "888-599-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41400 DEQUINDRE RD STE 121",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483143751",
"telephone_number": "586-843-3815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGNES WROBEL PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A",
"authorized_official_last_name": "SUTTLE",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
"authorized_official_telephone_number": "248-673-1441",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.