Group Psychotherapy, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301054148 Issued in MI

Legal business name

GROUP PSYCHOTHERAPY, PC

Practice address

29600 Northwestern Hwy
100B
Southfield, MI 48034-1016

Phone

(248) 353-4818

Fax

(248) 353-8107

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Leora Pnina Bar-Levav, MD.

Title

President

Phone

(248) 353-4818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1497260871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29600 NORTHWESTERN HWY",
            "address_2": "100B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341016",
            "telephone_number": "248-353-4818",
            "fax_number": "248-353-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29600 NORTHWESTERN HWY",
            "address_2": "100B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341016",
            "telephone_number": "248-353-4818",
            "fax_number": "248-353-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP PSYCHOTHERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "BAR-LEVAV",
        "authorized_official_first_name": "LEORA",
        "authorized_official_middle_name": "PNINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-353-4818",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301054148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya Gross, RN
• Alexander Grossi, MD
• Gary L Grossman, D.C.
• Group 1 Homes
• Group 1 Homes LLC
• Andrea Grove
• Anita Elaine Groves
• Tracy Chase Groves, CRNA
• Amber Gruesbeck
• Diane J Grzech, LMSW

• All providers in Southfield, MI
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.