Individual provider Active NPI

Aliya Brooke Pasik, PA-C

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Rochester Hills, MI
National Provider Identifier
1578992632
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
5601006847 Issued in MI
Practice address
441 S Livernois Rd Ste 100
Rochester Hills, MI 48307-2585
Phone
(248) 608-8800
Fax
(248) 608-2490
NPI assigned
Nov 8, 2013
Last updated
May 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 5601006847 MI Primary

Addresses

Primary practice location

441 S Livernois Rd Ste 100
Rochester Hills, MI 48307-2585

Mailing address

441 S Livernois Rd Ste 100
Rochester Hills, MI 48307-2585
Phone (248) 608-8800

Other practice location 1

30581 Stephenson Hwy
Madison Heights, MI 48071-1610
Phone (248) 589-1770

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140117000412 MI Practitioner - Physician Assistant 6305074477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joel L Young MD PCGroup PAC ID 3971575929, 59 clinicians

Practice addresses (Care Compare)

441 S Livernois Rd
Rochester Hills, MI 48307-2585
Phone (248) 608-8800

441 S Livernois Rd
Suite 100
Rochester Hills, MI 48307-2586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1578992632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-608-8800",
            "fax_number": "248-608-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-608-8800",
            "fax_number": "248-608-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30581 Stephenson Hwy",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480711610",
            "country_code": "US",
            "telephone_number": "248-589-1770",
            "fax_number": "248-589-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASIK",
        "first_name": "ALIYA",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MI",
            "license": "5601006847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.