Organization Active NPI

Irwin P. Adelson, M.D., P.C.

  • Psychiatry Physician
  • Franklin, MI
National Provider Identifier
1417119033
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301025335 Issued in MI
Legal business name
IRWIN P. ADELSON, M.D., P.C.
Practice address
25401 Tweed Dr
Franklin, MI 48025-2317
Phone
(248) 626-5388
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Irwin P Adelson, M.D.
Title
President
Phone
(248) 626-5388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301025335 MI Primary

Addresses

Primary practice location

25401 Tweed Dr
Franklin, MI 48025-2317

Mailing address

25401 Tweed Dr
Franklin, MI 48025-2317

Other identifiers 2

IdentifierTypeStateIssuer
4817458MedicaidMI
0630046OtherBCBSM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1417119033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 TWEED DR",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480252317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 TWEED DR",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480252317",
            "telephone_number": "248-626-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN P. ADELSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "ADELSON",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-626-5388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301025335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4817458",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0630046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.