Active NPI
Alan H. Rosenbaum, MD
- Psychiatry Physician
- Commerce TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301027031
- Practice address
- 2619 Kingstowne Dr
Commerce TWP, MI 48390-2712 - Phone
- (248) 539-0200
- Fax
- (248) 539-0987
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301027031 | MI | Primary |
Addresses
Primary practice location
2619 Kingstowne Dr
Commerce TWP, MI 48390-2712
Mailing address
6689 Orchard Lake Rd # 308
West Bloomfield, MI 48322-3404
Phone (248) 539-0200
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Michigan Medical School, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3901 Chrysler Dr
Suite 1a
Detroit, MI 48201-2167
Phone (313) 993-3964
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301027031 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stuart S. Segal, PH.D., PLLC | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| Psychopharmacology Associates PC | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
3901 Chrysler Dr
Ste 1A
Detroit, MI 48201
Phone (313) 577-1396
3901 Chrysler Dr
Ste 3B
Detroit, MI 48201
Phone (313) 577-1396
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
30095 Northwestern Hwy
Ste 20A
Farmington Hills, MI 48334
Phone (248) 579-5752
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Interoperability endpoints
- alan.rosenbaum.1@19711.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prescribing (Medical) Psychologist
- Farmington Hills, MI
- NPI 1609082999
-
- Clinical Psychologist
- Livonia, MI
- NPI 1477364131
-
dba Wayne State University Physician Group
- Social Worker
- Livonia, MI
- NPI 1154360402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1629042528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6689 ORCHARD LAKE RD # 308",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223404",
"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": "2619 KINGSTOWNE DR",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "483902712",
"telephone_number": "248-539-0200",
"fax_number": "248-539-0987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "ALAN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2023-11-16",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301027031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.