NPIMap

Organization Active NPI

Paxiam, LLC

Doing business as Paxiam

  • Psychiatric/Mental Health Registered Nurse
  • West Bloomfield, MI
National Provider Identifier
1689923468
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
4704194515 Issued in MI
Legal business name
PAXIAM, LLC
Doing business as
Paxiam
Practice address
5600 W. Maple
Suite B-206
West Bloomfield, MI 48322
Phone
(248) 626-3333
NPI assigned
Sep 7, 2012
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Mr. Paul Sam Polizzi
Title
General Partner
Phone
(248) 321-8589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704194515 MI Primary

Addresses

Primary practice location

5600 W. Maple
Suite B-206
West Bloomfield, MI 48322

Mailing address

3673 Havens Lane
Auburn Hills, MI 48326
Phone (248) 321-8589

Other names 1

  • Paxiam Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1689923468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3673 HAVENS LANE",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "48326",
            "telephone_number": "248-321-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W. MAPLE",
            "address_2": "SUITE B-206",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-626-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAXIAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "POLIZZI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "248-321-8589",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704194515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paxiam",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.