Patricia Imai

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088464 Issued in MI

Practice address

221 S Main St
Royal Oak, MI 48067-2653

Phone

(248) 398-6459

Fax

(248) 398-4770

NPI assigned

Oct 13, 2016

Sex

Female

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 MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Psychiatric Associates PLLCGroup PAC ID 0749528636, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Great Lakes Psychiatric Associates, PLLC

  • Psychiatry Physician
  • Farmington Hills, MI
  • NPI 1811452113
  Medicare reassignment Care Compare group
• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment NPD
• Geriatric Psychiatric Services PLLC

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1073753323
  NPD (past)

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1699225722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672653",
            "telephone_number": "248-398-6459",
            "fax_number": "248-398-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672653",
            "telephone_number": "248-398-6459",
            "fax_number": "248-398-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAI",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Idrissu, NP
• Alexandria L Idziak
• Hira Iftikhar, MD
• Maureen Nkolika Ikedinobi-Ndi, MD
• Kamala Rajni Ilg
• Khaled Imam
• Osama Imam, DPT
• Fariba Imran
• Tyler Ingle, PHARMD, RPH
• Tresi Ingram-Jolley, TLLP

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.