Individual provider Active NPI

Stephen Pravel, PH.D.

  • Clinical Social Worker
  • Birmingham, MI
National Provider Identifier
1497946263
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801011526 Issued in MI
Practice address
1935 Southfield Rd
Birmingham, MI 48009-3056
Phone
(248) 885-8885
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801011526 MI Primary

Addresses

Primary practice location

1935 Southfield Rd
Birmingham, MI 48009-3056

Mailing address

1935 Southfield Rd
Birmingham, MI 48009-3056
Phone (248) 885-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616001066 MI Practitioner - Clinical Social Worker 9335183680 Reassigns benefits to 1 organization
Practice locations: Birmingham, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1935 Southfield Rd
Birmingham, MI 48009-3056
Phone (248) 885-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6801011526MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Personal & Family Adjustment Center PC CurrentSince Dec 1, 2014 Accepting new patients
Smart Cloud, LLC Clinical Past Accepting new patients
American Arthritis & Rheumatology Associates -Mi PLLC Past Accepting new patients

Locations

30555 Southfield Rd
Ste 510
Southfield, MI 48076
Phone (248) 390-1017

Organizations & group practices 3

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1497946263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 SOUTHFIELD RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093056",
            "telephone_number": "248-885-8885",
            "fax_number": "248-792-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 SOUTHFIELD RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093056",
            "telephone_number": "248-885-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAVEL",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801011526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.