Individual provider Active NPI

Mitchell Neil Klein, PH.D., L.M.F.T.

  • Clinical Psychologist
  • Bingham Farms, MI
National Provider Identifier
1376567305
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002840 Issued in MI
Practice address
24255 W 13 Mile Rd
Suite 280
Bingham Farms, MI 48025-4320
Phone
(248) 723-0001
Fax
(248) 723-3901
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002840 MI Primary

Addresses

Primary practice location

24255 W 13 Mile Rd
Suite 280
Bingham Farms, MI 48025-4320

Mailing address

24255 W 13 Mile Rd
Suite 280
Bingham Farms, MI 48025-4320
Phone (248) 723-0001

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
I20060914000107 MI Practitioner - Clinical Psychologist 8921002452 Practice locations: Bingham Farms, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24255 W 13 Mile Rd
Bingham Farms, MI 48025-4322
Phone 24872300011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002840MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rappleye Counseling P C Past Accepting new patients

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376567305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24255 W 13 MILE RD",
            "address_2": "SUITE 280",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254320",
            "telephone_number": "248-723-0001",
            "fax_number": "248-723-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24255 W 13 MILE RD",
            "address_2": "SUITE 280",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254320",
            "telephone_number": "248-723-0001",
            "fax_number": "248-723-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MITCHELL",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "002840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.