Individual provider Active NPI

Ralph James Schillace, PH.D.

  • Physical Medicine & Rehabilitation Physician
  • Rochester Hills, MI
National Provider Identifier
1568686509
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
6301001724 Issued in MI
Practice address
1460 Walton Blvd
Suite 101
Rochester Hills, MI 48309-1753
Phone
(248) 652-1303
Fax
(248) 652-3620
NPI assigned
Apr 12, 2007
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301001724 MI
Physical Medicine & Rehabilitation Physician 208100000X 6301001724 MI Primary

Addresses

Primary practice location

1460 Walton Blvd
Suite 101
Rochester Hills, MI 48309-1753

Mailing address

1796 Kilburn Rd N
Rochester Hills, MI 48306-3034
Phone (586) 805-5329

Other identifiers 1

IdentifierTypeStateIssuer
62OF34573OtherMIPSYCHOLOGIST

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
I20110127000488 MI Practitioner - Clinical Psychologist 7618156324 Practice locations: Rochester Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Cincinnati College of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Rochester Hills, MI 48305
Phone (248) 652-1303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301001724MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Page Medical Billing LLC Current 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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1568686509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 KILBURN RD N",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063034",
            "telephone_number": "586-805-5329",
            "fax_number": "248-652-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "address_2": "SUITE 101",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091753",
            "telephone_number": "248-652-1303",
            "fax_number": "248-652-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLACE",
        "first_name": "RALPH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301001724",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "6301001724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "62OF34573",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.