Organization Active NPI

Arlene Kevonian M.D. P.L.C.

  • Preferred Provider Organization
  • West Bloomfield, MI
National Provider Identifier
1578775581
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ARLENE KEVONIAN M.D. P.L.C.
Practice address
7031 Orchard Lake Road
Suite 200
West Bloomfield, MI 48322
Phone
(248) 626-8508
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Miss Arlene Veronica Kevonian, MD LPCNPI 1528168309
Title
Doctor of Psychiatry
Phone
(248) 626-8508

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
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

7031 Orchard Lake Road
Suite 200
West Bloomfield, MI 48322

Mailing address

7031 Orchard Lake Road
Suite 200
West Bloomfield, MI 48322
Phone (248) 626-8508

Other identifiers 1

IdentifierTypeStateIssuer
2084P0800XOtherMITAXONOMY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1578775581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 ORCHARD LAKE ROAD",
            "address_2": "SUITE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-626-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 ORCHARD LAKE ROAD",
            "address_2": "SUITE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-626-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLENE KEVONIAN M.D. P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "KEVONIAN",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "DOCTOR OF PSYCHIATRY",
        "authorized_official_telephone_number": "248-626-8508",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD LPC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "2084P0800X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.