Active NPI
Timothy K Broe, PHD
- Counselor
- Farmington Hills, MI
National Provider Identifier
1245486273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401001490
- Practice address
- 33634 W 8 Mile Rd
Farmington Hills, MI 48335-5202 - Phone
- (248) 495-6955
- Fax
- (248) 476-4990
- NPI assigned
- Aug 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401001490 | MI | Primary |
Addresses
Primary practice location
33634 W 8 Mile Rd
Farmington Hills, MI 48335-5202
Mailing address
33634 W 8 Mile Rd
Farmington Hills, MI 48335-5202
Phone (248) 495-6955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401001490 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broe Rehabilitation Services, Inc. | Past | Accepting new patients | |
| Life Renewal Newtwork | Counselor | Past | Accepting new patients |
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 Illness Community Based Residential Treatment Facility
- Farmington Hills, MI
- NPI 1033284112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1245486273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33634 W 8 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483355202",
"telephone_number": "248-495-6955",
"fax_number": "248-476-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33634 W 8 MILE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483355202",
"telephone_number": "248-495-6955",
"fax_number": "248-476-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROE",
"first_name": "TIMOTHY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-11",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401001490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.