Jolyn Welsh Wagner MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

430105004 Issued in MI

Legal business name

JOLYN WELSH WAGNER MD PC

Practice address

999 Haynes St
Suite 280
Birmingham, MI 48009-6712

Phone

(248) 258-9085

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jolyn Welsh Wagner, M.D.

Title

President

Phone

(248) 258-9085

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1801033568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "SUITE 280",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096712",
            "telephone_number": "248-258-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "SUITE 280",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096712",
            "telephone_number": "248-258-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLYN WELSH WAGNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_middle_name": "WELSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-258-9085",
        "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": "430105004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.