Premier Professional Group LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PREMIER PROFESSIONAL GROUP LLC

Practice address

42450 W 12 Mile Rd
Ste 315
Novi, MI 48377-3013

Phone

(248) 513-4100

Fax

(248) 513-4105

NPI assigned

Dec 29, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Dahlia B Berkovitz, PHD

Title

Member

Phone

(248) 513-4100

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon L Paul, LMSW

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1598780223
  Medicare reassignment NPD
• Bernadette L. Angeles, M.D.

  • Psychiatry Physician
  • Novi, MI
  • NPI 1093747149
  NPD

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1437547460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD",
            "address_2": "STE 315",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773013",
            "telephone_number": "248-513-4100",
            "fax_number": "248-513-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD",
            "address_2": "STE 315",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773013",
            "telephone_number": "248-513-4100",
            "fax_number": "248-513-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PROFESSIONAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "BERKOVITZ",
        "authorized_official_first_name": "DAHLIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-513-4100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Pratz
• Precise Care Inc
• Alisa J Preist
• Sheela Prem, DPT
• Premier Hearing LLC
• Premier Professional Group, LLC
• Brittney Presley
• Alexandra Press
• Prestige Care Group
• Stafford Adrian Preston, MD

• Psychiatry Physician in Novi, MI
• Providers in Novi, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.