Michael J. Short MD and Associates PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301029412 Issued in MI

Legal business name

MICHAEL J. SHORT MD AND ASSOCIATES PC

Practice address

42505 Woodward Ave
Suite 103
Bloomfield Hills, MI 48304-5146

Phone

(248) 334-6200

Fax

(248) 334-3660

NPI assigned

Nov 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Short, M.D.

Title

President

Phone

(248) 334-6200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1750668281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42505 WOODWARD AVE",
            "address_2": "SUITE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045146",
            "telephone_number": "248-334-6200",
            "fax_number": "248-334-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42505 WOODWARD AVE",
            "address_2": "SUITE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045146",
            "telephone_number": "248-334-6200",
            "fax_number": "248-334-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. SHORT MD AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-334-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301029412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.