Organization Active NPI

Oakland Psychiatric Associates PC

  • Psychiatry Physician
  • Bloomfield Hills, MI
National Provider Identifier
1184799736
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NJ042763 Issued in MI
Legal business name
OAKLAND PSYCHIATRIC ASSOCIATES PC
Practice address
43700 Woodward Ave Ste 301
Bloomfield Hills, MI 48302-5062
Phone
(248) 335-4010
Fax
(248) 977-3860
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Linda Mondrow
Title
Controller
Phone
(248) 682-0741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X NJ042763 MI Primary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X MI

Addresses

Primary practice location

43700 Woodward Ave Ste 301
Bloomfield Hills, MI 48302-5062

Mailing address

43700 Woodward Ave Ste 301
Bloomfield Hills, MI 48302-5062
Phone (248) 335-4010

Other practice location 1

44555 Woodward
#405
Pontiac, MI 48341
Phone (248) 335-4010

Other identifiers 1

IdentifierTypeStateIssuer
260F377910OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

5701 Bow Pointe Dr
Ste 380
Clarkston, MI 48346
Phone (248) 241-6514

44555 Woodward Ave
Ste 405
Pontiac, MI 48341
Phone (248) 333-7100

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1184799736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE STE 301",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025062",
            "telephone_number": "248-335-4010",
            "fax_number": "248-858-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE STE 301",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025062",
            "telephone_number": "248-335-4010",
            "fax_number": "248-977-3860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44555 Woodward",
            "address_2": "#405",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "48341",
            "country_code": "US",
            "telephone_number": "248-335-4010",
            "fax_number": "248-858-3874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAKLAND PSYCHIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MONDROW",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "248-682-0741"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "NJ042763",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "260F377910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.