Individual provider Active NPI

Andrew Leblanc, MD

  • Psychiatry Physician
  • Ann Arbor, MI
National Provider Identifier
1700233152
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301109660 Issued in MI
Practice address
320 N Main St Ste 300
Ann Arbor, MI 48104-1127
Phone
(248) 981-5975
Fax
(734) 436-4878
NPI assigned
May 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301109660 MI Primary

Addresses

Primary practice location

320 N Main St Ste 300
Ann Arbor, MI 48104-1127

Mailing address

320 N Main St Ste 300
Ann Arbor, MI 48104-1127
Phone (248) 981-5975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20190828000785 MI Practitioner - Psychiatry 1052602836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Advanced Psychiatry, P.C.Group PAC ID 2567877574, 9 clinicians

Practice addresses (Care Compare)

3220 Discovery Dr
Suite 101
Lansing, MI 48910-8599
Phone (734) 436-4886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301109660MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Community Hospital CurrentSince Aug 13, 2019 Accepting new patients
Michigan Advanced Psychiatry, P.C. Psychiatry CurrentSince Nov 1, 2021 Accepting new patients
Chelsea Community Hospital Psychiatry CurrentSince Aug 13, 2019 Accepting new patients
Indiana Advanced Psychiatry Psychiatry PastSince Jan 21, 2024 Accepting new patients

Locations

320 N Main St
Ste 300
Ann Arbor, MI 48104
Phone (734) 436-4886

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

612 W Lake Lansing Rd
Ste 200
East Lansing, MI 48823
Phone (517) 324-7020

3220 Discovery Dr
Ste 101
Lansing, MI 48910
Phone (517) 325-3776

1700 W Big Beaver Rd
Ste 300
Troy, MI 48084
Phone (248) 885-8887

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1700233152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041127",
            "telephone_number": "248-981-5975",
            "fax_number": "734-436-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041127",
            "telephone_number": "248-981-5975",
            "fax_number": "734-436-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301109660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.