Organization Active NPI

North Oakland Anxiety Center, PLLC

  • Adult Mental Health Clinic/Center
  • Lake Orion, MI
National Provider Identifier
1376084293
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6801061697 Issued in MI
Legal business name
NORTH OAKLAND ANXIETY CENTER, PLLC
Practice address
1241 E Silverbell Rd
Lake Orion, MI 48360-2338
Phone
(248) 961-2578
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Ms. Rebecca Ehle, LMSWNPI 1952448334
Title
President
Phone
(248) 961-2578

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6801061697 MI Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 6801061697 MI

Addresses

Primary practice location

1241 E Silverbell Rd
Lake Orion, MI 48360-2338

Mailing address

422 Wesley St
Rochester, MI 48307-1866
Phone (248) 961-2578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517001646 MI Part B Supplier - Clinic/Group Practice 7517234867 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

1130 Tienken Ct
Ste 211
Rochester Hills, MI 48306
Phone (248) 961-2578

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": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1376084293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WESLEY ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071866",
            "telephone_number": "248-961-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E SILVERBELL RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483602338",
            "telephone_number": "248-961-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKLAND ANXIETY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "EHLE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-961-2578",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6801061697",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6801061697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.