Organization Active NPI

Gregg a Pizzi Psy D & Associates PLLC

  • Psychologist
  • Royal Oak, MI
National Provider Identifier
1316047905
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301011945 Issued in MI
Legal business name
GREGG A PIZZI PSY D & ASSOCIATES PLLC
Practice address
432 S Washington Ave
Suite 1207
Royal Oak, MI 48067-3854
Phone
(888) 377-4994
Fax
(888) 377-4994
NPI assigned
Sep 23, 2006
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Gregg A. Pizzi, PSY.D.NPI 1598986465
Title
Director & Licensed Psychologist
Phone
(888) 377-4994

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6301011945 MI Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY6018 FL

Addresses

Primary practice location

432 S Washington Ave
Suite 1207
Royal Oak, MI 48067-3854

Mailing address

432 S Washington Ave
Suite 1207
Royal Oak, MI 48067-3854
Phone (888) 377-4994

Other identifiers 2

IdentifierTypeStateIssuer
7295183OtherMIAETNA
68-0-F3-2477-0OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

108 E 5th St
Royal Oak, MI 48067
Phone (248) 545-0555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1316047905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 S WASHINGTON AVE",
            "address_2": "SUITE 1207",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673854",
            "telephone_number": "888-377-4994",
            "fax_number": "888-377-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 S WASHINGTON AVE",
            "address_2": "SUITE 1207",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673854",
            "telephone_number": "888-377-4994",
            "fax_number": "888-377-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG A PIZZI PSY D & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "PIZZI",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR & LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "888-377-4994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011945",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7295183",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "68-0-F3-2477-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.