Calmeze Henike Dudley Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301047939 Issued in MI

Practice address

3290 W Big Beaver Rd
Troy, MI 48084-2903

Phone

(248) 290-2220

Fax

(248) 290-4019

NPI assigned

Feb 26, 2007

Last updated

Aug 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• C H Dudley Professional name

Electronic endpoints 1

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

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-County Counseling Services LLCGroup PAC ID 3173703907, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Tri-County Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Madison Heights, MI
  • NPI 1225339906
  Medicare reassignment Care Compare group NPD
• Debra a. Glitz, M.D., P.L.L.C.

  • Psychiatry Physician
  • Troy, MI
  • NPI 1225102775
  NPD (past)
• Gilbert R Ladd IV MD PC

  • Psychiatry Physician
  • Troy, MI
  • NPI 1730150616
  NPD (past)
• Henry Ford Health Eastwood Behavioral Health

  dba Eastwood Clinics

  • Social Worker
  • Clinton Township, MI
  • NPI 1396787701
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661040000000",
    "number": "1639205651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842903",
            "telephone_number": "248-290-2220",
            "fax_number": "248-290-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842903",
            "telephone_number": "248-290-2220",
            "fax_number": "248-290-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "CALMEZE",
        "middle_name": "HENIKE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301047939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chdudley@hotmail.com",
            "affiliation": "N",
            "address_1": "3290 W Big Beaver Rd",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480842903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "DUDLEY",
            "middle_name": "H",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alyssa Drost, MA, CCC-SLP
• DSN Home Care, LLC (Healthmap Home Care)
• Pamela Jean Dsouza, PHD
• Dua LLC (Duacare)
• Janet K Dubeck, MD
• Amanda Duemling
• Krysta Kaye Duffany, CTRS
• Michael C Duffy, MD
• Patricia M Duggan, MD
• Damiera Dumas, RN

• Psychiatry Physician in Troy, MI
• Providers in Troy, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; 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.

Verify at the official NPI Registry.