Individual provider Active NPI

Robert Garcia, M.D.

  • Child & Adolescent Psychiatry Physician
  • Northville, MI
National Provider Identifier
1184622136
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
4301069872 Issued in MI
Practice address
650 Griswold St
Northville, MI 48167-1666
Phone
(248) 912-0080
Fax
(248) 912-0208
NPI assigned
Jul 13, 2005
Reactivated
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301069872 MI
Child & Adolescent Psychiatry Physician 2084P0804X 4301069872 MI Primary

Addresses

Primary practice location

650 Griswold St
Northville, MI 48167-1666

Mailing address

650 Griswold St
Northville, MI 48167-1666
Phone (248) 912-0080

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419000446 MI Practitioner - Psychiatry 7911890694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Garcia MD PCGroup PAC ID 8628063757, 3 clinicians

Practice addresses (Care Compare)

650 Griswold St
Northville, MI 48167-1666
Phone (248) 912-0080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301069872MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Garcia MD PC Psychiatry CurrentSince Dec 1, 2001 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Past Accepting new patients
Bobbi Ebsen Psychotherapy LLC Past Accepting new patients
Northbrook Psychological Clinic PLC PastSince May 1, 2002 Accepting new patients
Michael S Finn PC Past Accepting new patients

Locations

650 Griswold St
Northville, MI 48167
Phone (248) 470-3346

23985 Novi Rd
Ste B104
Novi, MI 48375
Phone (248) 912-0080

Interoperability endpoints

  • Direct secure messaging: rgarcia1127562@direct.hfhs.org

Organizations & group practices 5

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1184622136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 GRISWOLD ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671666",
            "telephone_number": "248-912-0080",
            "fax_number": "248-912-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRISWOLD ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671666",
            "telephone_number": "248-912-0080",
            "fax_number": "248-912-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-04-01",
        "certification_date": "2021-08-03",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301069872",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301069872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.