Organization Active NPI

Harvey W. Halberstadt M.D. P.C.

  • Psychiatry Physician
  • Troy, MI
National Provider Identifier
1104057074
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301027799 Issued in MI
Legal business name
HARVEY W. HALBERSTADT M.D. P.C.
Practice address
575 E Big Beaver Rd
Ste. 360
Troy, MI 48083-1300
Phone
(248) 457-9667
Fax
(248) 457-9666
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Harvey W. Halberstadt, M.D.
Title
Provider
Phone
(248) 457-9667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301027799 MI Primary

Addresses

Primary practice location

575 E Big Beaver Rd
Ste. 360
Troy, MI 48083-1300

Mailing address

575 E Big Beaver Rd
Ste. 360
Troy, MI 48083-1300
Phone (248) 457-9667

National Provider Directory

National Provider Directory

Locations

575 E Big Beaver Rd
Ste 360
Troy, MI 48083
Phone (248) 457-9667

575 E Big Beaver Rd
Ste 240
Troy, MI 48083
Phone (248) 457-9667

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1104057074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E BIG BEAVER RD",
            "address_2": "STE. 360",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831300",
            "telephone_number": "248-457-9667",
            "fax_number": "248-457-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E BIG BEAVER RD",
            "address_2": "STE. 360",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831300",
            "telephone_number": "248-457-9667",
            "fax_number": "248-457-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY W. HALBERSTADT M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "HALBERSTADT",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "248-457-9667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301027799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.