Individual provider Active NPI

Frank W Pavlovcic III, DO

  • Psychiatry Physician
  • Chelsea, MI
National Provider Identifier
1629089230
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101019070 Issued in MI
Practice address
350 North Main Street
Suite 150
Chelsea, MI 48118
Phone
(734) 593-5251
Fax
(734) 593-5255
NPI assigned
Aug 10, 2006
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0102201410 VA
Psychiatry Physician 2084P0800X 5101019070 MI Primary

Addresses

Primary practice location

350 North Main Street
Suite 150
Chelsea, MI 48118

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

Other practice location 1

775 S Main St
Chelsea Community Hospital
Chelsea, MI 48118-1383
Phone (734) 475-4029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FPAVLOVCIC21555@DIRECT.TRINITY-HEALTH.ORG Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000597 MI Practitioner - Psychiatry 5193999787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102201410VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Community Hospital CurrentSince Sep 25, 2011 Accepting new patients
Iha Health Services Corporation Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Chelsea Community Hospital Current Accepting new patients
Iha Health Service Corporation CurrentSince Jan 1, 2024 Accepting new patients
Chelsea Community Hospital Psychiatry CurrentSince Sep 25, 2011 Accepting new patients
St Joseph Mercy Chelsea Inc PastSince Aug 1, 2021 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

350 N Main St
Ste 150
Chelsea, MI 48118
Phone (734) 593-5251

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

Interoperability endpoints

  • Direct secure messaging: fpavlovcic21555@direct.trinity-health.org

Organizations & group practices 7

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1629089230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NORTH MAIN STREET",
            "address_2": "SUITE 150",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "48118",
            "telephone_number": "734-593-5251",
            "fax_number": "734-593-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 S Main St",
            "address_2": "Chelsea Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MI",
            "postal_code": "481181383",
            "country_code": "US",
            "telephone_number": "734-475-4029",
            "fax_number": "734-475-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLOVCIC",
        "first_name": "FRANK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-07-26",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102201410",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101019070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FPAVLOVCIC21555@DIRECT.TRINITY-HEALTH.ORG",
            "affiliation": "N",
            "endpointDescription": "SHMH-Chelsea Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "775 S Main St",
            "address_2": "Chelsea Community Hospital",
            "city": "Chelsea",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481181383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.