Organization Active NPI

Mpa Group LTD

  • Prescribing (Medical) Psychologist
  • Bay City, MI
National Provider Identifier
1457551756
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
4301026598 Issued in MI
Legal business name
MPA GROUP LTD
Practice address
1217 S Euclid Ave
Bay City, MI 48706-3311
Phone
(989) 667-9661
Fax
(989) 667-9680
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mr. Ronald D. Leix, M.B.A.
Title
Ceo
Phone
(989) 667-9661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0016X 4301026598 MI Primary

Addresses

Primary practice location

1217 S Euclid Ave
Bay City, MI 48706-3311

Mailing address

1217 S Euclid Ave
Bay City, MI 48706-3311
Phone (989) 667-9661

Other identifiers 1

IdentifierTypeStateIssuer
2793633MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1457551756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063311",
            "telephone_number": "989-667-9661",
            "fax_number": "989-667-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063311",
            "telephone_number": "989-667-9661",
            "fax_number": "989-667-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPA GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "LEIX",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-667-9661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MI",
            "license": "4301026598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2793633",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.