Active NPI
Angela Nuzzarello, MD
- Psychiatry Physician
- Royal Oak, MI
National Provider Identifier
1679650485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036076765
- Practice address
- 3601 W. 13 Mile Road
Department of Psychiatry
Royal Oak, MI 48073 - Phone
- (312) 695-5060
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036076765 | IL | Primary |
Addresses
Primary practice location
3601 W. 13 Mile Road
Department of Psychiatry
Royal Oak, MI 48073
Mailing address
3601 W. 13 Mile Road
Department of Psychiatry
Royal Oak, MI 48073
Phone (312) 695-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036076765 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1679650485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W. 13 MILE ROAD",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "312-695-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W. 13 MILE ROAD",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "312-695-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUZZARELLO",
"first_name": "ANGELA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036076765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.