Individual provider Active NPI

Nancy Ruth Wrobel

  • Clinical Psychologist
  • Orion, MI
National Provider Identifier
1255427282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006687 Issued in MI
Practice address
2633 S Lapeer Rd
Orion, MI 48360-2810
Phone
(248) 393-5555
Fax
(248) 393-1791
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301006687 MI Primary

Addresses

Primary practice location

2633 S Lapeer Rd
Orion, MI 48360-2810

Mailing address

1103 Abseguami TRL
Lake Orion, MI 48362-1408
Phone (810) 693-1469

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405001222 MI Practitioner - Clinical Psychologist 7911990155 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 12, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 7, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 7, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical Current Accepting new patients
Oakland Psychological Clinic, P.C. Psychologist PastSince Jan 1, 1990 Accepting new patients

Locations

2550 S Telegraph Rd
Ste 250
Bloomfld Hls, MI 48302
Phone (248) 322-0001

14165 N Fenton Rd
Ste 201
Fenton, MI 48430
Phone (248) 322-0001

1455 S Lapeer Rd
Ste 175
Lake Orion, MI 48360
Phone (248) 322-0001

888 W Big Beaver Rd
Ste 1450
Troy, MI 48084
Phone 2482448644 ext. 124

Interoperability endpoints

  • Direct secure messaging: nancy.wrobel.1@28621.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255427282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 ABSEGUAMI TRL",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621408",
            "telephone_number": "810-693-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 S LAPEER RD",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483602810",
            "telephone_number": "248-393-5555",
            "fax_number": "248-393-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBEL",
        "first_name": "NANCY",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orion, MI

Sources for this page

Verify at the official NPI Registry.