Individual provider Active NPI

David T. Majchrzak, MA

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1316190523
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013951 Issued in MI
Practice address
3520 Green CT Ste 185
Ann Arbor, MI 48105-1595
Phone
(734) 222-6046
Fax
(734) 222-3639
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013951 MI Primary

Addresses

Primary practice location

3520 Green CT Ste 185
Ann Arbor, MI 48105-1595

Mailing address

3520 Green CT Ste 185
Ann Arbor, MI 48105-1595
Phone (734) 222-6046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. Past Accepting new patients
Ross Halpern Psychologist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1316190523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GREEN CT STE 185",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051595",
            "telephone_number": "734-222-6046",
            "fax_number": "734-222-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GREEN CT STE 185",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051595",
            "telephone_number": "734-222-6046",
            "fax_number": "734-222-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJCHRZAK",
        "first_name": "DAVID",
        "middle_name": "T.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013951",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 20, 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.