Active NPI
Growing Wellness, LLC
- Psychiatry Physician
- Troy, MI
National Provider Identifier
1245016823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- GROWING WELLNESS, LLC
- Practice address
- 888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745 - Phone
- (810) 292-1998
- NPI assigned
- Sep 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia L Tieman, PMHNP-BC
- Title
- Owner
- Phone
- (810) 292-1998
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745
Mailing address
888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745
Phone (248) 270-8191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1990 Heide Dr
Troy, MI 48084
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Troy, MI
- NPI 1639535362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694476800000",
"number": "1245016823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD STE 780",
"city": "TROY",
"state": "MI",
"postal_code": "480844745",
"telephone_number": "248-270-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD STE 780",
"city": "TROY",
"state": "MI",
"postal_code": "480844745",
"telephone_number": "810-292-1998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWING WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A",
"authorized_official_last_name": "TIEMAN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-292-1998",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.