Dorothy Mikat, M.D.

Individual provider Active NPI Psychiatry Physician · Pinckney, MI

NPI 1467535682 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1467535682
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
4301029029 (MI)
Practice address
4736 E Mi 36
Pinckney, MI 48169-9383
Phone
(810) 231-9591
Fax
(810) 231-9522
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301029029MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dailey Life, Inc. Past Accepting new patients
Livingston Family Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301029029 MI Yes

Addresses

Primary practice location

4736 E Mi 36
Pinckney, MI 48169-9383

Mailing address

11209 White Lake Rd
Fenton, MI 48430-2477

Other identifiers

IdentifierTypeStateIssuer
2602510862OtherMIBCBS

Other providers in Pinckney, MI

All providers in Pinckney, MI · Psychiatry Physician in Michigan

Sources for this page

Verify at the official NPI Registry.