Vivid Neurology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

VIVID NEUROLOGY PC

Practice address

26400 W 12 Mile Rd Ste 20
Southfield, MI 48034-1774

Phone

(248) 864-8752

Fax

(248) 920-0744

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Remonda Elyas

Title

Manager

Phone

(248) 864-8752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1609489988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 20",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341774",
            "telephone_number": "248-864-8752",
            "fax_number": "248-920-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 20",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341774",
            "telephone_number": "248-864-8752",
            "fax_number": "248-920-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "ELYAS",
        "authorized_official_first_name": "REMONDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-864-8752"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitality Group Inc (Vitality Health Services inc)
• Vitality Health LLC
• Vitality Home Care Inc.
• Vitas Healthcare Corporation Midwest
• Viva Wellness PLLC
• VK Internal Medicine, PC
• Rebecca Vlasic, MA LLP
• Amy Marie Volk, PA-C
• Taylor Alexis Volson, LLMSW
• Dylan Jacob Vonderhuevel, MD

• Neurology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.