Individual provider Active NPI

Craig Alan Fuelling, M.D.

  • Psychiatry Physician
  • Milford, MI
National Provider Identifier
1497888176
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301405873 Issued in MI
Practice address
3725 S Hill Rd
Milford, MI 48381-3535
Phone
(734) 455-3361
Fax
(734) 975-1604
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301405873 MI Primary
Child & Adolescent Psychiatry Physician 2084P0804X 4301405873 MI

Addresses

Primary practice location

3725 S Hill Rd
Milford, MI 48381-3535

Mailing address

3725 S Hill Rd
Milford, MI 48381-3535
Phone (734) 455-3361

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 1, 2016 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301405873MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Craig a. Fuelling, M.D., PLLC Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Home of New Vision PastSince Jul 18, 2016 Accepting new patients

Locations

496 W Ann Arbor Trl
Ste 107
Plymouth, MI 48170
Phone (734) 455-3361

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1497888176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 S HILL RD",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483813535",
            "telephone_number": "734-455-3361",
            "fax_number": "734-975-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 S HILL RD",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483813535",
            "telephone_number": "734-455-3361",
            "fax_number": "734-975-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUELLING",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301405873",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301405873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

Verify at the official NPI Registry.