Active NPI
Lyndsey Muklewicz, NP
- Psychiatric/Mental Health Nurse Practitioner
- Grosse Pointe Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704275051
- Practice address
- 131 Kercheval Ave Ste 390
Grosse Pointe Farms, MI 48236-3628 - Phone
- (313) 885-6400
- NPI assigned
- Sep 14, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704275051 | MI | Primary |
Addresses
Primary practice location
131 Kercheval Ave Ste 390
Grosse Pointe Farms, MI 48236-3628
Mailing address
131 Kercheval Ave Ste 390
Grosse Pointe Farms, MI 48236-3628
Phone (586) 615-4959
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28345 Beck Rd
Suite 110
Wixom, MI 48393-4733
Phone (248) 274-4560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Psychiatry of Michigan PLLC | Current | Accepting new patients | |
| Sanjeev Venkataraman, MD, PLC | Current | Accepting new patients | |
| Positive Images | Past | Accepting new patients |
Locations
W-4111 Andover Rd
Ste 100
Bloomfield Township, MI 48302
Phone (248) 290-5400
2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358
34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640
28345 Beck Rd
Ste 110
Wixom, MI 48393
Phone (248) 274-4560
Organizations & group practices 4
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.
-
- Physician Assistant
- Wayne, MI
- NPI 1831701671
-
- Psychiatry Physician
- Bloomfield Hills, MI
- NPI 1447640792
-
- Psychiatry Physician
- Bloomfield Township, MI
- NPI 1497608384
-
- Substance Abuse Rehabilitation Facility
- Detroit, MI
- NPI 1407079882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1245845304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 KERCHEVAL AVE STE 390",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363628",
"telephone_number": "586-615-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 KERCHEVAL AVE STE 390",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363628",
"telephone_number": "313-885-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKLEWICZ",
"first_name": "LYNDSEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704275051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.