Individual provider Active NPI

Ross Franklin Halpern, P.H.D, L.P.

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1366405474
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
RH008342 Issued in MI
Practice address
3520 Green Court
Ste 185
Ann Arbor, MI 48105
Phone
(734) 222-6046
Fax
(734) 222-3639
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X RH008342 MI Primary

Addresses

Primary practice location

3520 Green Court
Ste 185
Ann Arbor, MI 48105

Mailing address

3520 Green Court
Ste 185
Ann Arbor, MI 48105
Phone (734) 222-6046

Other identifiers 4

IdentifierTypeStateIssuer
593776870OtherMITAX ID
680H112660OtherMIBCBS MI
123459OtherMIPREF CH
732008000OtherMIMAGELLAN/AETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518000272 MI Practitioner - Clinical Psychologist 6507856705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Neurology Associates PCGroup PAC ID 8628987468, 18 clinicians

Practice addresses (Care Compare)

34025 Harper Ave
Clinton Township, MI 48035-3737
Phone (586) 445-9900

710 Avis Dr
Suite 300
Ann Arbor, MI 48108-9649
Phone (734) 961-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RH008342MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neurology Associates, P.C. CurrentSince Dec 26, 2016 Accepting new patients
Ross Halpern & Associates LLC Psychologist CurrentSince Aug 1, 2016 Accepting new patients
Michigan Neurology Associates PC CurrentSince Dec 26, 2016 Accepting new patients
Integrated Health Group, P.C. Past Accepting new patients
Healing Hands Therapy LTD Past Accepting new patients
Anodyne Healthcare PLLC Past Accepting new patients
Ross Halpern Psychologist PastSince Jan 1, 1990 Accepting new patients
Michigan Pain Specialists, PLLC Past Accepting new patients

Locations

770 Riverside Ave
Ste 204
Adrian, MI 49221
Phone (517) 768-0600

710 Avis Dr
Ste 300
Ann Arbor, MI 48108
Phone (734) 961-3030

2305 Genoa Business Park Dr
Brighton, MI 48114
Phone (734) 961-3030

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

34025 Harper Ave
Clinton Twp, MI 48035
Phone (586) 445-9900

19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900

11650 Belleville Rd
Ste 105
Van Buren Township, MI 48111
Phone (734) 325-6282

135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060

5325 Elliott Dr
Ypsilanti, MI 48197

Interoperability endpoints

  • Direct secure messaging: michiganneurologyassociates.rosshalpern@158246.advancedmd-direct.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1366405474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GREEN COURT",
            "address_2": "STE 185",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-222-6046",
            "fax_number": "734-222-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GREEN COURT",
            "address_2": "STE 185",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-222-6046",
            "fax_number": "734-222-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "ROSS",
        "middle_name": "FRANKLIN",
        "credential": "P.H.D, L.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "RH008342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593776870",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "680H112660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF CH",
            "identifier": "123459",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN/AETNA",
            "identifier": "732008000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.