NPIMap

Organization Active NPI

Group Psychotherapy, PC

  • Psychiatry Physician
  • Southfield, MI
National Provider Identifier
1497260871
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Leora Pnina Bar-Levav, MD.NPI 1386771087
Title
President
Phone
(248) 353-4818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301054148 MI Primary

Addresses

Primary practice location

29600 Northwestern Hwy
100B
Southfield, MI 48034-1016

Mailing address

29600 Northwestern Hwy
100B
Southfield, MI 48034-1016
Phone (248) 353-4818

National Provider Directory

National Provider Directory

Locations

29600 Northwestern Hwy
#100B
Southfield, MI 48034
Phone (248) 353-4818

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Southfield, MI

Sources for this page

  • 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.