Active NPI
Skye Michigan PLLC
- Psychiatry Physician
- Bingham Farms, MI
National Provider Identifier
1447068051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SKYE MICHIGAN PLLC
- Practice address
- 31700 Telegraph Rd Ste 230
Bingham Farms, MI 48025-3466 - Phone
- (248) 587-8267
- Fax
- (248) 973-1345
- NPI assigned
- Dec 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Glenn, MD
- Title
- Medical Director
- Phone
- (248) 587-8267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
31700 Telegraph Rd Ste 230
Bingham Farms, MI 48025-3466
Mailing address
31700 Telegraph Rd Ste 230
Bingham Farms, MI 48025-3466
Phone (248) 587-8267
National Provider Directory
National Provider DirectoryLocations
31700 Telegraph Rd
Ste 230
Bingham Farms, MI 48025
Phone (248) 587-8267
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bingham Farms, MI
- NPI 1851874499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735344000000",
"number": "1447068051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31700 TELEGRAPH RD STE 230",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480253466",
"telephone_number": "248-587-8267",
"fax_number": "248-973-1345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31700 TELEGRAPH RD STE 230",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480253466",
"telephone_number": "248-587-8267",
"fax_number": "248-973-1345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYE MICHIGAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-28",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A",
"authorized_official_last_name": "GLENN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "248-587-8267",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.