NPIMap

Organization Active NPI

Ez Telepsych LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1679210454
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EZ TELEPSYCH LLC
Practice address
455 E Eisenhower Pkwy Ste 300-1016
Ann Arbor, MI 48108-3356
Phone
(248) 983-1070
Fax
(248) 780-3805
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Mohammed Joz, PMHNP-BC, APRNNPI 1407528672
Title
President
Phone
(248) 983-1070

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

455 E Eisenhower Pkwy Ste 300-1016
Ann Arbor, MI 48108-3356

Mailing address

455 E Eisenhower Pkwy Ste 300-1016
Ann Arbor, MI 48108-3356
Phone (248) 983-1070

National Provider Directory

National Provider Directory

Locations

455 E Eisenhower Pkwy
Ste 3001016
Ann Arbor, MI 48108
Phone (248) 983-1070

Practitioners & affiliated clinicians

Practitioners 3

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": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1679210454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300-1016",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083356",
            "telephone_number": "248-983-1070",
            "fax_number": "248-780-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300-1016",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083356",
            "telephone_number": "248-983-1070",
            "fax_number": "248-780-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ TELEPSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "JOZ",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-983-1070",
        "authorized_official_credential": "PMHNP-BC, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.