Active NPI
Razvan Adam, MD
- Psychiatry Physician
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301062869
- Practice address
- PSC 41
Box 883
Apo, AE 09464-0089 - Phone
- (314) 226-8603
- NPI assigned
- Oct 13, 2006
- Last updated
- Apr 24, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301062869 | MI | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301062869 | MI |
Addresses
Primary practice location
PSC 41
Box 883
Apo, AE 09464-0089
Mailing address
2699 Antietam CT
Ann Arbor, MI 48105-1456
Phone (989) 423-0672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301062869 | MI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiawassee County Community Mental Health Authority | Current | Accepting new patients | |
| Community Mental Health for Central Michigan | Psychiatry | Current | Accepting new patients |
| Mra Psychiatrics, PC | Past | Accepting new patients | |
| Ionia County Community Mental Health | Past | Accepting new patients |
Locations
301 S Crapo St
Ste 100
Mt Pleasant, MI 48858
Phone (989) 772-5938
301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938
1555 Industrial Dr
Owosso, MI 48867
Phone (989) 723-0732
Interoperability endpoints
- https://api.platform.athenahealth.com/17142/brand/1/csg/1/fhir/r4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alma, MI
- NPI 1205896123
-
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1609412840
-
dba Shiawassee Health & Wellness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owosso, MI
- NPI 1497749279
-
- Public Health or Welfare Agency
- Ionia, MI
- NPI 1760452122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1124118955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2699 ANTIETAM CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051456",
"telephone_number": "989-423-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "PSC 41",
"address_2": "BOX 883",
"city": "APO",
"state": "AE",
"postal_code": "094640089",
"telephone_number": "314-226-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAM",
"first_name": "RAZVAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301062869",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301062869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.