NPIMap

Organization Active NPI

Geropsych Group LLC

  • Geriatric Psychiatry Physician
  • Bingham Farms, MI
National Provider Identifier
1306143235
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD047459 Issued in MI
Legal business name
GEROPSYCH GROUP LLC
Practice address
32270 Telegraph Rd Ste 240
Bingham Farms, MI 48025-2457
Phone
(248) 593-1717
Fax
(248) 593-1711
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Manuel Dumlao, MD
Title
Owner
Phone
(248) 593-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X MD047459 MI Primary

Addresses

Primary practice location

32270 Telegraph Rd Ste 240
Bingham Farms, MI 48025-2457

Mailing address

32270 Telegraph Rd Ste 240
Bingham Farms, MI 48025-2457
Phone (248) 593-1717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1306143235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD STE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252457",
            "telephone_number": "248-593-1717",
            "fax_number": "248-593-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD STE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252457",
            "telephone_number": "248-593-1717",
            "fax_number": "248-593-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEROPSYCH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "DUMLAO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-593-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MI",
            "license": "MD047459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.