Michigan Neurology Center

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MICHIGAN NEUROLOGY CENTER

Practice address

1848 Biddle Ave.
Suite 101
Wyandotte, MI 48192-4064

Phone

(734) 284-2600

Fax

(734) 284-8666

NPI assigned

Aug 15, 2006

Last updated

Jul 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Girish Mangalick, MDNPI 1225039522

Title

Medical Director

Phone

(734) 284-2600

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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.

• Girish C Mangalick, M.D.

  • Neurology Physician
  • Wyandotte, MI
  • NPI 1225039522

  Specialist

  NPD Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1326051665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 BIDDLE AVE.",
            "address_2": "SUITE 101",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924064",
            "telephone_number": "734-284-2600",
            "fax_number": "734-284-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 BIDDLE AVE.",
            "address_2": "SUITE 101",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924064",
            "telephone_number": "734-284-2600",
            "fax_number": "734-284-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN NEUROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "MANGALICK",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "734-284-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "GM034377",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "MM07284",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP",
            "identifier": "130H222940",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MICHIGAN",
            "identifier": "130H222940",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326051665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Adeline Meyers, PSY.D, LP, LPC, NCC
• Michael W. Whitworth DO PC
• Rachel Michalak
• William David Michels IV, MD
• Michigan Dizziness and Balance Clinic, Inc
• Michigan Pathology Associates, PC
• Michigan Urgent Care
• Michigan Urgent Care
• Sarah Miciura, IBCLC
• Lindsay Mieden, MA, LLPC

• Neurology Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Neurology Physician in Michigan

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