Krzysztof Mlak, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301090664 Issued in MI

Practice address

2751 E Jefferson Ave
Detroit, MI 48207-4180

Phone

(313) 993-3434

NPI assigned

Jul 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Behavioral Healthcare - Tempe, LLC

  • Psychiatric Hospital
  • Tempe, AZ
  • NPI 1164744736

  Psychiatry

  Medicare reassignment NPD
• Havenwyck Hospital Inc

  • Psychiatric Hospital
  • St Johns, MI
  • NPI 1053841650
  NPD (past)
• University Physician Group

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1447299797

  Family Medicine

  NPD (past)
• University Physician Group

  • Counselor
  • Detroit, MI
  • NPI 1447465661

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1689838476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 E JEFFERSON AVE",
            "address_2": "APT 320",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074180",
            "telephone_number": "313-993-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLAK",
        "first_name": "KRZYSZTOF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301090664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mizrahi Medicine
• Daniel Saul Mizrahi, D.O.
• MJ'S Medical Transportation Service
• Asmik Mkrtychyan, FNP
• Savanna Lee Mladenoski
• James Mo
• Moats House
• Zorays Moazzam, MD
• Nada Mobayed, MD
• Mobile Blood Work Services L.L.C.

• Psychiatry Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.