Organization Active NPI

Paul Paskiewicz, PH.D., P.C.

  • Psychologist
  • Birmingham, MI
National Provider Identifier
1649473042
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301002424 Issued in MI
Legal business name
PAUL PASKIEWICZ, PH.D., P.C.
Practice address
560 Woodland St
Birmingham, MI 48009-1316
Phone
(248) 808-5604
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Dr. Paul Paskiewicz, PH.D.
Title
President
Phone
(248) 808-5604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6301002424 MI Primary

Addresses

Primary practice location

560 Woodland St
Birmingham, MI 48009-1316

Mailing address

560 Woodland St
Birmingham, MI 48009-1316
Phone (248) 808-5604

National Provider Directory

National Provider Directory

Locations

300 E Maple Rd
Ste 322
Birmingham, MI 48009
Phone (248) 644-2900

111 S Old Woodward Ave
Ste 254
Birmingham, MI 48009
Phone (248) 644-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1649473042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WOODLAND ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091316",
            "telephone_number": "248-808-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 WOODLAND ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091316",
            "telephone_number": "248-808-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PASKIEWICZ, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "PASKIEWICZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-808-5604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.