Active NPI
Frank W Pavlovcic III, DO
- Psychiatry Physician
- Chelsea, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5101019070
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0102201410 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsea Community Hospital | Current | Accepting new patients | |
| Iha Health Services Corporation | Psychiatry | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Chelsea Community Hospital | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Chelsea Community Hospital | Psychiatry | Current | Accepting new patients |
| St Joseph Mercy Chelsea Inc | Past | 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
- 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.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba St. Joseph Mercy Chelsea
- Psychiatry Physician
- Chelsea, MI
- NPI 1912947409
-
- Urgent Care Clinic/Center
- Chelsea, MI
- NPI 1033778733
-
- Certified Registered Nurse Anesthetist
- Chelsea, MI
- NPI 1568542967
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba Trinity Health IHA Medical Group Psychiatry & Counseling
- Psychiatry Physician
- Ypsilanti, MI
- NPI 1164137709
-
- Multi-Specialty Clinic/Center
- Chelsea, MI
- NPI 1770246274
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.