Psychopharmacology Associates PC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

PSYCHOPHARMACOLOGY ASSOCIATES PC

Practice address

30095 Northwestern Hwy Suite 20a
Farmington Hills, MI 48334

Phone

(248) 539-0200

Fax

(248) 539-0987

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alan H Rosenbaum, M.D.NPI 1629042528

Title

President

Phone

(248) 539-0200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Psychopharmacology Associates PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Psychopharmacology Associates P.C.

  • Mental Health Counselor
  • Farmington Hills, MI
  • NPI 1295935955
  NPD tax ID
• Psychopharmacology Associates PC

  • Prescribing (Medical) Psychologist
  • Farmington Hills, MI
  • NPI 1124237417
  NPD tax ID
• Psychopharmacology Associates PC

  • Prescribing (Medical) Psychologist
  • Farmington Hills, MI
  • NPI 1316156698
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan H. Rosenbaum, MD

  • Psychiatry Physician
  • Commerce TWP, MI
  • NPI 1629042528
  Medicare reassignment NPD Authorized official
• Martha A Pleiss, LMSW LMST

  • Clinical Social Worker
  • Royal Oak, MI
  • NPI 1407849821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1609082999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30095 NORTHWESTERN HWY SUITE 20A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-539-0200",
            "fax_number": "248-539-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30095 NORTHWESTERN HWY SUITE 20A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-539-0200",
            "fax_number": "248-539-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOPHARMACOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-539-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilana Pshechenko
• Psyche Clinical LLC
• Psychopharmacology Associates P.C.
• Psychopharmacology Associates PC
• Psychopharmacology Associates PC
• Rachel Ptacek
• PTC of Michigan Inc
• Lauren Puchalski
• Jade Puckett
• Kathleen Puckett

• Prescribing (Medical) Psychologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Prescribing (Medical) Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.