Organization Active NPI

Richard B Atkins MD PC

  • Psychiatry Physician
  • West Bloomfield, MI
National Provider Identifier
1467647487
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
RA057609 Issued in MI
Legal business name
RICHARD B ATKINS MD PC
Practice address
2300 Haggerty Rd
Suite 2160
West Bloomfield, MI 48323-2192
Phone
(248) 960-5106
Fax
(248) 960-5532
NPI assigned
Sep 12, 2007
Organization subpart
Yes
Parent organization
RICHARD B ATKINS MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Richard B Atkins, MD
Title
President
Phone
(248) 960-5106

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084F0202X RA057609 MI
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X RA057609 MI Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X RA057609 MI
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X RA057609 MI

Addresses

Primary practice location

2300 Haggerty Rd
Suite 2160
West Bloomfield, MI 48323-2192

Mailing address

2300 Haggerty Rd
Suite 2160
West Bloomfield, MI 48323-2192
Phone (248) 960-5106

Other identifiers 1

IdentifierTypeStateIssuer
2606350012OtherMIBCBSM

National Provider Directory

National Provider Directory
Part of
Richard B Atkins MD PC

Locations

2300 Haggerty Rd
Ste 2160
West Bloomfield, MI 48323
Phone (248) 539-0899

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1467647487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232192",
            "telephone_number": "248-960-5106",
            "fax_number": "248-960-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232192",
            "telephone_number": "248-960-5106",
            "fax_number": "248-960-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD B ATKINS MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD B ATKINS MD PC",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-960-5106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MI",
            "license": "RA057609",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "RA057609",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "RA057609",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MI",
            "license": "RA057609",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2606350012",
            "state": "MI"
        }
    ],
    "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 Sep 12, 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.