Organization Active NPI

Patricia L Vulpe, LLC

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1356705834
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801013046 Issued in MI
Legal business name
PATRICIA L VULPE, LLC
Practice address
415 S West St
Suite 150
Royal Oak, MI 48067-2521
Phone
(248) 320-1593
Fax
(248) 546-8070
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Patricia L Vulpe, LMSWNPI 1558470666
Title
Sole Proprieter
Phone
(248) 320-1593

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801013046 MI Primary

Addresses

Primary practice location

415 S West St
Suite 150
Royal Oak, MI 48067-2521

Mailing address

415 S West St
Suite 150
Royal Oak, MI 48067-2521
Phone (248) 320-1593

Other identifiers 2

IdentifierTypeStateIssuer
6801013046OtherMISTATE LICENSE
0961160OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160418001430 MI Part B Supplier - Clinic/Group Practice 9638477151 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

415 S West St
Ste 150
Royal Oak, MI 48067
Phone (248) 546-3550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1356705834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S WEST ST",
            "address_2": "SUITE 150",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672521",
            "telephone_number": "248-320-1593",
            "fax_number": "248-546-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S WEST ST",
            "address_2": "SUITE 150",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672521",
            "telephone_number": "248-320-1593",
            "fax_number": "248-546-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA L VULPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "VULPE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "248-320-1593",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801013046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6801013046",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0961160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.