Active NPI
Robert J. Flewelling, PSYD
- Clinical Psychologist
- Royal Oak, MI
National Provider Identifier
1386967743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301014084
- Practice address
- 2011 Crooks Rd
Royal Oak, MI 48073-4049 - Phone
- (248) 980-7997
- Fax
- (248) 698-8993
- NPI assigned
- Mar 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301014084 | MI | Primary |
Addresses
Primary practice location
2011 Crooks Rd
Royal Oak, MI 48073-4049
Mailing address
247 Holmur Dr
Waterford, MI 48327-3621
Phone (248) 980-7997
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2011 Crooks Rd
Royal Oak, MI 48073-4049
Phone (248) 439-0383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Clinical Psychologist
- Royal Oak, MI
- NPI 1811219678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1386967743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 HOLMUR DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483273621",
"telephone_number": "248-980-7997",
"fax_number": "248-698-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 CROOKS RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480734049",
"telephone_number": "248-980-7997",
"fax_number": "248-698-8993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEWELLING",
"first_name": "ROBERT",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-12",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301014084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.