Organization Active NPI

Carl Christensen MD PLLC

Doing business as Christensen Recovery Services

  • Addiction Medicine (Family Medicine) Physician
  • Ypsilanti, MI
National Provider Identifier
1164830048
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
4301048048 Issued in MI
Legal business name
CARL CHRISTENSEN MD PLLC
Doing business as
Christensen Recovery Services
Practice address
2370 Leforge Rd
Ypsilanti, MI 48198-9638
Phone
(734) 448-0226
Fax
(313) 447-2244
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Carl Woodrow Christensen, MD
Title
Sole Member
Phone
(734) 218-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 4301048048 MI Primary

Addresses

Primary practice location

2370 Leforge Rd
Ypsilanti, MI 48198-9638

Mailing address

2370 Leforge Rd
Ypsilanti, MI 48198-9638
Phone (734) 448-0226

Other names 1

  • Christensen Recovery Services Doing business as

National Provider Directory

National Provider Directory

Locations

2311 Shelby Ave
Ste 201A
Ann Arbor, MI 48103
Phone (734) 320-1413

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1164830048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 LEFORGE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989638",
            "telephone_number": "734-448-0226",
            "fax_number": "313-447-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 LEFORGE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989638",
            "telephone_number": "734-448-0226",
            "fax_number": "313-447-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL CHRISTENSEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "WOODROW",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "734-218-5317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301048048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christensen Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2014; 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.