Active NPI
David Jacob Wartel, PHD
- Psychologist
- West Bloomfield, MI
National Provider Identifier
1467474288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301002990
- Practice address
- 6346 Orchard Lake Rd
Suite 107
West Bloomfield, MI 48322-2328 - Phone
- (248) 626-1330
- Fax
- (248) 626-9170
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301002990 | MI | Primary |
Addresses
Primary practice location
6346 Orchard Lake Rd
Suite 107
West Bloomfield, MI 48322-2328
Mailing address
6346 Orchard Lake Rd
Suite 107
West Bloomfield, MI 48322
Phone (248) 626-1330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F34733 | Other | BLUE CROSS BLUE SHIELD MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wartel Behavioral Services, P.C. | Psychologist | Current | Accepting new patients |
| Seniors Wellness Group of Michigan, P.C. | Past | Accepting new patients |
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.
-
- Psychologist
- West Bloomfield, MI
- NPI 1861636110
-
- Clinical Psychologist
- Royal Oak, MI
- NPI 1801848718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467474288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6346 ORCHARD LAKE RD",
"address_2": "SUITE 107",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48322",
"telephone_number": "248-626-1330",
"fax_number": "248-626-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6346 ORCHARD LAKE RD",
"address_2": "SUITE 107",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222328",
"telephone_number": "248-626-1330",
"fax_number": "248-626-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARTEL",
"first_name": "DAVID",
"middle_name": "JACOB",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301002990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "0F34733",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.