Individual provider Active NPI

Georgia Michalopoulou, PHD

  • Psychologist
  • Troy, MI
National Provider Identifier
1164460895
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301009156 Issued in MI
Practice address
1560 E Maple Rd
Troy, MI 48083-1135
Phone
(586) 799-4350
Fax
(586) 799-4279
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301009156 MI Primary

Addresses

Primary practice location

1560 E Maple Rd
Troy, MI 48083-1135

Mailing address

43228 Rhineland Dr
Sterling HTS, MI 48314-1958
Phone (586) 770-2473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000605 MI Practitioner - Clinical Psychologist 8729044573 Reassigns benefits to 1 organization
Practice locations: Sterling HTS, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

43200 Dequindre Rd
Suite 104
Sterling Heights, MI 48314-1707
Phone (586) 799-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301009156MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Jul 16, 2019 Accepting new patients
University Physician Group Past Accepting new patients

Locations

10735 Bogie Lake Rd
Commerce Twp, MI 48382
Phone (248) 354-3222

3901 Chrysler Dr
Ste 3B
Detroit, MI 48201
Phone (313) 577-1396

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
#9B
Detroit, MI 48201
Phone (313) 745-1060

16836 Newburgh Rd
Ste 27
Livonia, MI 48154

16836 Newburgh Rd
#27
Livonia, MI 48154
Phone (734) 464-4220

Interoperability endpoints

  • Direct secure messaging: georgia.michalopoulou.1@19711.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1164460895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43228 RHINELAND DR",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483141958",
            "telephone_number": "586-770-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831135",
            "telephone_number": "586-799-4350",
            "fax_number": "586-799-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALOPOULOU",
        "first_name": "GEORGIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.