Active NPI
Peter D Kleinman, MD
- Psychiatry Physician
- Ann Arbor, MI
National Provider Identifier
1548293368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- PK035696
- Practice address
- 505 E Huron St
Suite 3a
Ann Arbor, MI 48104-1573 - Phone
- (734) 668-8422
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | PK035696 | MI | Primary |
Addresses
Primary practice location
505 E Huron St
Suite 3a
Ann Arbor, MI 48104-1573
Mailing address
505 E Huron St
Suite 3a
Ann Arbor, MI 48104-1573
Phone (734) 668-8422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16213 | Other | MI | PPOM |
| 2608108180 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PK035696 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsea Community Hospital | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548293368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E HURON ST",
"address_2": "SUITE 3A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041573",
"telephone_number": "734-668-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E HURON ST",
"address_2": "SUITE 3A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041573",
"telephone_number": "734-668-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINMAN",
"first_name": "PETER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "PK035696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "16213",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2608108180",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.