Active NPI
Kirtida A Patel, M.D.
- Forensic Psychiatry Physician
- Ypsilanti, MI
National Provider Identifier
1154518512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 4301044134
- Practice address
- 3201 Bemis Road
Huron Valley Complex-Men'S
Ypsilanti, MI 48197 - Phone
- (734) 572-9942
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 4301044134 | MI | Primary |
Addresses
Primary practice location
3201 Bemis Road
Huron Valley Complex-Men'S
Ypsilanti, MI 48197
Mailing address
PO Box 5304
Northville, MI 48167-5304
Phone (248) 349-8536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301044134 | MI | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1154518512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5304",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481675304",
"telephone_number": "248-349-8536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 BEMIS ROAD",
"address_2": "HURON VALLEY COMPLEX-MEN'S",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-572-9942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KIRTIDA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "MI",
"license": "4301044134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.