Active NPI
Robert Francis Slattery
- Psychiatry Physician
- Ann Arbor, MI
National Provider Identifier
1336343607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301049960
- Practice address
- 120 E Liberty St
Suite 330
Ann Arbor, MI 48104-2156 - Phone
- (734) 665-3187
- Fax
- (734) 662-0424
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301049960 | MI | Primary |
Addresses
Primary practice location
120 E Liberty St
Suite 330
Ann Arbor, MI 48104-2156
Mailing address
120 E. Liberty St.
Suite 330
Ann Arbor, MI 48104
Phone (734) 665-3187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 13, 2016 through Oct 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301049960 | MI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336343607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E. LIBERTY ST.",
"address_2": "SUITE 330",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48104",
"telephone_number": "734-665-3187",
"fax_number": "734-662-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E LIBERTY ST",
"address_2": "SUITE 330",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481042156",
"telephone_number": "734-665-3187",
"fax_number": "734-662-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATTERY",
"first_name": "ROBERT",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301049960",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.