Organization Active NPI

Skye Michigan PLLC

  • Psychiatry Physician
  • Bingham Farms, MI
National Provider Identifier
1447068051
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Dec 28, 2024

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.