NPIMap

Organization Active NPI

Specialists in Psychiatric Pharmacology PLLC

  • Psychiatry Physician
  • Birmingham, MI
National Provider Identifier
1548447709
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SPECIALISTS IN PSYCHIATRIC PHARMACOLOGY PLLC
Practice address
1000 S Old Woodward Ave
Suite 101
Birmingham, MI 48009-6723
Phone
(248) 723-3222
Fax
(248) 723-3226
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Leslee A Emerson, D.O.NPI 1205893013
Title
Physician/Partner
Phone
(248) 723-3222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1000 S Old Woodward Ave
Suite 101
Birmingham, MI 48009-6723

Mailing address

1000 S Old Woodward Ave
Suite 101
Birmingham, MI 48009-6723
Phone (248) 723-3222

Other identifiers 3

IdentifierTypeStateIssuer
2658212294OtherMIBLUE CROSS BLUE SHIELD ID
260F301540OtherMIBCBS GROUP ID
2658205874OtherMIBLUE CROSS BLUE SHIELD ID

National Provider Directory

National Provider Directory

Locations

1000 S Old Woodward Ave
Ste 101
Birmingham, MI 48009
Phone (248) 723-3222

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1548447709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096723",
            "telephone_number": "248-723-3222",
            "fax_number": "248-723-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S OLD WOODWARD AVE",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096723",
            "telephone_number": "248-723-3222",
            "fax_number": "248-723-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS IN PSYCHIATRIC PHARMACOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "248-723-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "2658212294",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "260F301540",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "2658205874",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.