Active NPI
Cassius a Deflon MD PC
- Psychiatry Physician
- Bingham Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301028558
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassius Deflon, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101783196 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Bloomfield Hills, MI
- NPI 1730363441
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.