Organization Active NPI

Robert Papazian, Psy.D., P.C.

  • Psychologist
  • Grosse Pointe Farms, MI
National Provider Identifier
1578856258
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301008048 Issued in MI
Legal business name
ROBERT PAPAZIAN, PSY.D., P.C.
Practice address
131 Kercheval Ave
Suite 390
Grosse Pointe Farms, MI 48236-3629
Phone
(313) 885-6400
Fax
(313) 885-6807
NPI assigned
May 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Mr. Robert A Papazian, PSY.D.NPI 1750311668
Title
Owner
Phone
(313) 885-0052

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301008048 MI Primary

Addresses

Primary practice location

131 Kercheval Ave
Suite 390
Grosse Pointe Farms, MI 48236-3629

Mailing address

131 Kercheval Ave
Suite 390
Grosse Pointe Farms, MI 48236-3629
Phone (313) 885-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130712000680 MI Part B Supplier - Clinic/Group Practice 5991945065 Receives reassigned benefits from 1 practitioner
Practice locations: Roseville, MI

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": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1578856258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 KERCHEVAL AVE",
            "address_2": "SUITE 390",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363629",
            "telephone_number": "313-885-6400",
            "fax_number": "313-885-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 KERCHEVAL AVE",
            "address_2": "SUITE 390",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363629",
            "telephone_number": "313-885-6400",
            "fax_number": "313-885-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT PAPAZIAN, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "PAPAZIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-885-0052",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.