Organization Active NPI

Imagine Health, P.C.

  • Psychiatry Physician
  • Birmingham, MI
National Provider Identifier
1265623292
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301055165 Issued in MI
Legal business name
IMAGINE HEALTH, P.C.
Practice address
1019 Haynes St
Birmingham, MI 48009-6779
Phone
(248) 647-3466
Fax
(248) 647-9142
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Mark Lawrence Silverman, M.D.NPI 1972620854
Title
Owner
Phone
(248) 647-0391

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301055165 MI Primary

Addresses

Primary practice location

1019 Haynes St
Birmingham, MI 48009-6779

Mailing address

1019 Haynes St
Birmingham, MI 48009-6779
Phone (248) 647-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070810000352 MI Part B Supplier - Clinic/Group Practice 6800987454 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, MI

National Provider Directory

National Provider Directory

Locations

401 S Old Woodward Ave
Ste 435
Birmingham, MI 48009
Phone (248) 245-2095

401 S Old Woodward Ave
Ste 4
Birmingham, MI 48009
Phone (248) 647-0391

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1265623292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 HAYNES ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096779",
            "telephone_number": "248-647-0391",
            "fax_number": "248-647-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 HAYNES ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096779",
            "telephone_number": "248-647-3466",
            "fax_number": "248-647-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-647-0391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301055165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.

Verify at the official NPI Registry.