Active NPI
Thomas L. Atkins, MD
- Psychiatry Physician
- Ann Arbor, MI
National Provider Identifier
1235217811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301094947
- Practice address
- 1500 E Medical Center Dr
B1 Floor University Hospital Recp Emergency
Ann Arbor, MI 48109-5020 - Phone
- (734) 936-5900
- Fax
- (734) 763-7204
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301094947 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301094947 | MI | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | A64575 | CA | |
| Psychiatry Physician | 2084P0800X | 4301094947 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
B1 Floor University Hospital Recp Emergency
Ann Arbor, MI 48109-5020
Mailing address
3621 South State Street
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140127000064 | MI | Practitioner - Psychiatry | 5991797284 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Michigan Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Washtenaw
Practice addresses (Care Compare)
2140 E Ellsworth Rd
Ann Arbor, MI 48108-2552
Phone (734) 544-3050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64575 | CA | MD | Pediatric Adolescent Medicine Physician |
| 4301094947 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Washtenaw | Current | Accepting new patients | |
| County of Washtenaw | Current | Accepting new patients |
Locations
555 Towner St
Ypsilanti, MI 48198
Phone (734) 544-3000
Interoperability endpoints
- thomas.atkins.1@4327.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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ypsilanti, MI
- NPI 1639132442
MI
-
- State or Local Public Health Clinic/Center
- Ypsilanti, MI
- NPI 1609896018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1235217811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 SOUTH STATE STREET",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"address_2": "B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095020",
"telephone_number": "734-936-5900",
"fax_number": "734-763-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "THOMAS",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301094947",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301094947",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A64575",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301094947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.