Organization Active NPI

Cassius a Deflon MD PC

  • Psychiatry Physician
  • Bingham Farms, MI
National Provider Identifier
1326185133
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301028558 Issued in MI
Legal business name
CASSIUS A DEFLON MD PC
Practice address
30100 Telegraph Rd
Ste 273
Bingham Farms, MI 48025-4514
Phone
(248) 647-7577
NPI assigned
Jan 31, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Cassius Deflon, MDNPI 1730363441
Title
Physician
Phone
(248) 647-7577

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 4301028558 MI Primary

Addresses

Primary practice location

30100 Telegraph Rd
Ste 273
Bingham Farms, MI 48025-4514

Mailing address

30100 Telegraph Rd
Ste 273
Bingham Farms, MI 48025-4514
Phone (248) 647-7577

Other identifiers 1

IdentifierTypeStateIssuer
101783196MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000039 MI Part B Supplier - Clinic/Group Practice 4082784269 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield Hills, MI

National Provider Directory

National Provider Directory

Locations

30100 Telegraph Rd
Ste 273
Bingham Farms, MI 48025
Phone (248) 647-7577

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1326185133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "STE 273",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254514",
            "telephone_number": "248-647-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "STE 273",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254514",
            "telephone_number": "248-647-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSIUS A DEFLON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "DEFLON",
        "authorized_official_first_name": "CASSIUS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-647-7577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301028558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101783196",
            "state": "MI"
        }
    ],
    "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 Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.