NPIMap

Organization Active NPI

Apex Behavioral Health Western-Wayne

  • Psychiatry Physician
  • Westland, MI
National Provider Identifier
1619315538
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
APEX BEHAVIORAL HEALTH WESTERN-WAYNE
Practice address
1547 S Wayne Rd
Westland, MI 48186-5436
Phone
(734) 729-3133
NPI assigned
Jun 13, 2013
Last updated
Oct 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Tae W Park, M.D.NPI 1538133020
Title
Psychiatrist
Phone
(734) 729-3133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1547 S Wayne Rd
Westland, MI 48186-5436

Mailing address

1547 S Wayne Rd
Westland, MI 48186-5436
Phone (734) 729-3133

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1619315538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865436",
            "telephone_number": "734-729-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865436",
            "telephone_number": "734-729-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX BEHAVIORAL HEALTH WESTERN-WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "734-729-3133",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.