Organization Active NPI

Advanced Psychiatric Interventions

  • Child & Adolescent Psychiatry Physician
  • Waterford, MI
National Provider Identifier
1730350281
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
ADVANCED PSYCHIATRIC INTERVENTIONS
Practice address
950 N Cass Lake Rd
Suite 107
Waterford, MI 48328-2370
Phone
(248) 681-0623
Fax
(248) 681-0927
NPI assigned
Mar 12, 2008
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Terry L Whyte Jr., FNP-C, PHDNPI 1053319863
Title
Owner
Phone
(248) 681-0623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

950 N Cass Lake Rd
Suite 107
Waterford, MI 48328-2370

Mailing address

950 N Cass Lake Rd
Waterford, MI 48328-2370
Phone (248) 681-0623

Other identifiers 4

IdentifierTypeStateIssuer
4368404MedicaidMI
5008670150OtherMIBCBS
1005206330MedicaidMI
5008770600OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

950 N Cass Lake Rd
Waterford, MI 48328
Phone (248) 681-5252

950 N Cass Lake Rd
Ste 107
Waterford, MI 48328
Phone (248) 681-0623

Practitioners & affiliated clinicians

Practitioners 2

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1730350281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N CASS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282370",
            "telephone_number": "248-681-0623",
            "fax_number": "248-681-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N CASS LAKE RD",
            "address_2": "SUITE 107",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282370",
            "telephone_number": "248-681-0623",
            "fax_number": "248-681-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHIATRIC INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WHYTE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-681-0623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FNP-C, PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4368404",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5008670150",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005206330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5008770600",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.