NPIMap

Organization Active NPI

Carol a. Roekle, M.D., P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmington Hills, MI
National Provider Identifier
1659419257
Registry record updated Dec 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
4301030288 Issued in MI
Legal business name
CAROL A. ROEKLE, M.D., P.C.
Practice address
29994 Northwestern Hwy Ste H
Farmington Hills, MI 48334-3225
Phone
(248) 626-4444
NPI assigned
Feb 3, 2007
Last updated
Dec 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2012

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

Authorized official

Name
Dr. Carol A RoekleNPI 1902944507
Title
President
Phone
(248) 626-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 4301030288 MI Primary

Addresses

Primary practice location

29994 Northwestern Hwy Ste H
Farmington Hills, MI 48334-3225

Mailing address

1736 Point St
Commerce TWP, MI 48382-2273
Phone (248) 626-4444

Other identifiers 1

IdentifierTypeStateIssuer
4627408MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081017000724 MI Part B Supplier - Clinic/Group Practice 9335207448 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Locations

29994 Northwestern Hwy
Ste H
Farmington Hills, MI 48334
Phone (248) 626-4444

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355529600000",
    "number": "1659419257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 POINT ST",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483822273",
            "telephone_number": "248-626-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29994 NORTHWESTERN HWY STE H",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343225",
            "telephone_number": "248-626-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL A. ROEKLE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2012-12-15",
        "status": "A",
        "authorized_official_last_name": "ROEKLE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-626-4444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "4301030288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4627408",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.