Individual provider Active NPI

Alexander Thomas Parker, MD

  • Psychiatry Physician
  • Ann Arbor, MI
National Provider Identifier
1366658361
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301106294 Issued in MI
Practice address
623 W Huron St
Ann Arbor, MI 48103-6712
Phone
(734) 274-2632
Fax
(734) 661-2668
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 252072 NY
Psychiatry Physician 2084P0800X 4301106294 MI Primary

Addresses

Primary practice location

623 W Huron St
Ann Arbor, MI 48103-6712

Mailing address

227 Crest St
Ann Arbor, MI 48103-4315
Phone (734) 274-3838

Other practice location 1

8623 N Wayne Rd
Suite 310
Westland, MI 48185-1137
Phone (734) 425-0636

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323002195 MI Practitioner - Psychiatry 3274780093 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301106294MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc Psychiatry CurrentSince Jan 10, 2015 Accepting new patients
Hegira Health, Inc. CurrentSince Jan 10, 2015 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jan 30, 2017 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jan 30, 2017 Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

8623 N Wayne Rd
Ste 310
Westland, MI 48185
Phone (734) 513-7598

Organizations & group practices 4

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1366658361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CREST ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034315",
            "telephone_number": "734-274-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W HURON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036712",
            "telephone_number": "734-274-2632",
            "fax_number": "734-661-2668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8623 N Wayne Rd",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481851137",
            "country_code": "US",
            "telephone_number": "734-425-0636",
            "fax_number": "734-425-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ALEXANDER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "252072",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301106294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.