NPIMap

Organization Active NPI

Physical Cognitive Network, Inc.

  • Rehabilitation Clinic/Center
  • Warren, MI
National Provider Identifier
1750619409
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
035963 Issued in MI
Legal business name
PHYSICAL COGNITIVE NETWORK, INC.
Practice address
28550 Schoenherr Rd
Warren, MI 48088-4329
Phone
(586) 552-1562
Fax
(586) 552-1535
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
James E Beale Jr., M.D.
Title
Sole Owner and Medical Director
Phone
(586) 552-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 035963 MI Primary

Addresses

Primary practice location

28550 Schoenherr Rd
Warren, MI 48088-4329

Mailing address

28550 Schoenherr Rd
Warren, MI 48088-4329
Phone (586) 552-1562

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1750619409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28550 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884329",
            "telephone_number": "586-552-1562",
            "fax_number": "586-552-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28550 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884329",
            "telephone_number": "586-552-1562",
            "fax_number": "586-552-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL COGNITIVE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "BEALE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE OWNER AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-552-1525",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MI",
            "license": "035963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.