Individual provider Active NPI

Susan Linda Wainwright-Rollins, M.D.

  • Psychiatry Physician
  • Bloomfield Hills, MI
National Provider Identifier
1750593489
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301047891 Issued in MI
Practice address
4050 W Maple Rd
Bloomfield Hills, MI 48301-3148
Phone
(248) 258-2478
NPI assigned
May 4, 2007
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200700424 NC
Psychiatry Physician 2084P0800X 4301047891 MI Primary
Psychiatry Physician 2084P0800X 47891 MI
Child & Adolescent Psychiatry Physician 2084P0804X 4301047891 MI

Addresses

Primary practice location

4050 W Maple Rd
Bloomfield Hills, MI 48301-3148

Mailing address

4298 Compton Way
Bloomfield Hills, MI 48302-2006
Phone (248) 808-3796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 14, 2016 through Mar 14, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47891MIMDPsychiatry Physician
200700424NCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1750593489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4298 COMPTON WAY",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022006",
            "telephone_number": "248-808-3796",
            "fax_number": "248-286-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MAPLE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013148",
            "telephone_number": "248-258-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT-ROLLINS",
        "first_name": "SUSAN",
        "middle_name": "LINDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200700424",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301047891",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "47891",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301047891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.