Organization Active NPI

Michell Myers PC

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1790919470
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MICHELL MYERS PC
Practice address
5543 Bishop St
Detroit, MI 48224-2170
Phone
(313) 283-7423
Fax
(313) 826-6173
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Dr. Michell Ann Myers, PH.D.NPI 1386878064
Title
Clinical Psychologist/Ceo
Phone
(313) 283-7423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5543 Bishop St
Detroit, MI 48224-2170

Mailing address

5543 Bishop St
Detroit, MI 48224-2170
Phone (313) 283-7423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000585 MI Part B Supplier - Clinic/Group Practice 2365594504 Receives reassigned benefits from 1 practitioner
Practice locations: Bingham Farms, MI; Detroit, MI

National Provider Directory

National Provider Directory

Locations

30100 Telegraph Rd
Ste 470
Bingham Farms, MI 48025
Phone (248) 872-5227

22151 Moross Rd
Ste G-5
Grosse Pointe, MI 48236
Phone (313) 417-2900

24100 Southfield Rd
Ste 302
Southfield, MI 48075
Phone (248) 443-7021

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1790919470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 BISHOP ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242170",
            "telephone_number": "313-283-7423",
            "fax_number": "313-826-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5543 BISHOP ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242170",
            "telephone_number": "313-283-7423",
            "fax_number": "313-826-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELL MYERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MICHELL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/CEO",
        "authorized_official_telephone_number": "313-283-7423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.