Organization Active NPI

Neuro Wellness Institute PC

  • Clinical Psychologist
  • Troy, MI
National Provider Identifier
1366989584
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014375 Issued in MI
Legal business name
NEURO WELLNESS INSTITUTE PC
Practice address
2073 E Maple Rd
Troy, MI 48083-4493
Phone
(519) 490-8920
NPI assigned
Jan 25, 2017
Last updated
Feb 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Dr. Huilan Zhang, PSYDNPI 1649550005
Title
Ceo
Phone
(226) 260-1181

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 Psychologist 103TC0700X 6301014375 MI Primary

Addresses

Primary practice location

2073 E Maple Rd
Troy, MI 48083-4493

Mailing address

2073 E Maple Rd
Troy, MI 48083-4493
Phone (226) 260-1181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200121000589 MI Part B Supplier - Clinic/Group Practice 2365877305 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

2073 E Maple Rd
Troy, MI 48083
Phone (226) 260-1181

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.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1366989584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 E MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834493",
            "telephone_number": "226-260-1181",
            "fax_number": "313-666-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 E MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834493",
            "telephone_number": "519-490-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO WELLNESS INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "HUILAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "226-260-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.