Individual provider Active NPI

Irene Degroot, M.D.

  • Psychiatry Physician
  • Caro, MI
National Provider Identifier
1780795302
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301060810 Issued in MI
Practice address
2000 Chambers Rd
Caro, MI 48723-9293
Phone
(989) 673-3191
Fax
(989) 673-0064
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301060810 MI Primary

Addresses

Primary practice location

2000 Chambers Rd
Caro, MI 48723-9293

Mailing address

2000 Chambers Rd
Caro, MI 48723-9293
Phone (989) 673-3191

Other identifiers 2

IdentifierTypeStateIssuer
E85929OtherMIUPIN
2607901142OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management Past Accepting new patients
List Psychological Services, PLC Psychiatry Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Northeast Michigan Community Mental Health Authority PastSince Jul 20, 2005 Accepting new patients
Tuscola County Community Mental Health Services Board PastSince Oct 6, 2008 Accepting new patients
State of Michigan Office of Financial Management PastSince Sep 24, 2023 Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780795302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239293",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239293",
            "telephone_number": "989-673-3191",
            "fax_number": "989-673-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOT",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301060810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E85929",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2607901142",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.