Organization Active NPI

Nathan C Claunch PHD PC

  • Psychiatry Physician
  • Ann Arbor, MI
National Provider Identifier
1295962389
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NC148530 Issued in MI
Legal business name
NATHAN C CLAUNCH PHD PC
Practice address
2225 Packard St
Suite 1
Ann Arbor, MI 48104-6320
Phone
(734) 663-9050
Fax
(734) 260-3573
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Dr. Nathan C Claunch, PHD PC
Title
Ceo
Phone
(734) 663-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X NC148530 MI Primary

Addresses

Primary practice location

2225 Packard St
Suite 1
Ann Arbor, MI 48104-6320

Mailing address

2225 Packard St
Suite 1
Ann Arbor, MI 48104
Phone (734) 663-9050

Other identifiers 1

IdentifierTypeStateIssuer
680H148530OtherMIBLUE CROSS

National Provider Directory

National Provider Directory

Locations

28220 Franklin Rd
Southfield, MI 48034
Phone (248) 208-9415

Practitioners & affiliated clinicians

Practitioners 1

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": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1295962389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PACKARD ST",
            "address_2": "SUITE 1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-663-9050",
            "fax_number": "734-260-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PACKARD ST",
            "address_2": "SUITE 1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046320",
            "telephone_number": "734-663-9050",
            "fax_number": "734-260-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN C CLAUNCH PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "CLAUNCH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-663-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD PC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "NC148530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "680H148530",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.