Individual provider Active NPI

Adam Ouellette, MD

  • Psychiatry Physician
  • Saline, MI
National Provider Identifier
1457988552
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301511461 Issued in MI
Practice address
8303 Platt Rd
Saline, MI 48176-9773
Phone
(734) 429-2531
Fax
(734) 944-0802
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301511461 MI Primary

Addresses

Primary practice location

8303 Platt Rd
Saline, MI 48176-9773

Mailing address

PO Box 2060
Ann Arbor, MI 48106-2060
Phone (734) 429-2531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909001526 MI Practitioner - Psychiatry 3577986686 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management CurrentSince Aug 25, 2024 Accepting new patients
State of Michigan Office of Financial Management Current Accepting new patients

Locations

8303 Platt Rd
Saline, MI 48176
Phone (734) 295-4223

30901 Palmer Rd
Westland, MI 48186
Phone (734) 367-8400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1457988552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2060",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481062060",
            "telephone_number": "734-429-2531",
            "fax_number": "734-944-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 PLATT RD",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769773",
            "telephone_number": "734-429-2531",
            "fax_number": "734-944-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301511461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.