Michigan Light Therapy PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

5101008226 Issued in MI

Legal business name

MICHIGAN LIGHT THERAPY PC

Practice address

1900 South Telegraph Road
Suite 102
Bloomfield Hills, MI 48302-0238

Phone

(248) 240-0450

Fax

(248) 927-0888

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Keri B Topouzian, D.O.

Title

President

Phone

(248) 240-0450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1679710008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SOUTH TELEGRAPH ROAD",
            "address_2": "SUITE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-240-0450",
            "fax_number": "248-927-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SOUTH TELEGRAPH ROAD",
            "address_2": "SUITE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-240-0450",
            "fax_number": "248-927-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN LIGHT THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "TOPOUZIAN",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-240-0450",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "5101008226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michigan Psychological & Consulting Services PC
• Michigan Reproductive Medicine
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• Medical Specialty Clinic/Center in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.