NPIMap

Organization Active NPI

Michael J. Short MD and Associates PC

  • Psychiatry Physician
  • Bloomfield Hills, MI
National Provider Identifier
1750668281
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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.NPI 1700948072
Title
President
Phone
(248) 334-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301029412 MI Primary

Addresses

Primary practice location

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

Mailing address

42505 Woodward Ave
Suite 103
Bloomfield Hills, MI 48304-5146
Phone (248) 334-6200

National Provider Directory

National Provider Directory

Locations

42505 Woodward Ave
Ste 103
Bloomfld Hls, MI 48304
Phone (248) 334-6200

Practitioners & affiliated clinicians

Practitioners 1

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": "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": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • 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.