Active NPI
Joan C Urbancic, NP
- Psychiatric/Mental Health Nurse Practitioner
- Detroit, MI
National Provider Identifier
1568609188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704053374
- Practice address
- 10 Peterboro St
Detroit, MI 48201-2722 - Phone
- (313) 831-3160
- NPI assigned
- Jan 20, 2009
- Last updated
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704053374 | MI | Primary |
Addresses
Primary practice location
10 Peterboro St
Detroit, MI 48201-2722
Mailing address
1090 S Renaud Rd
Grosse Pointe Woods, MI 48236-1738
Phone (313) 886-7311
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Detroit Mercy | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1568609188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 S RENAUD RD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361738",
"telephone_number": "313-886-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PETERBORO ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012722",
"telephone_number": "313-831-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANCIC",
"first_name": "JOAN",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704053374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.