Marvic Health, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

MARVIC HEALTH, LLC

Practice address

6001 W Outer Dr Ste 205
Detroit, MI 48235-2626

Phone

(586) 457-6716

Fax

(313) 474-9904

NPI assigned

Jan 8, 2024

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Victor D Harrell, PA-C, LMSWNPI 1922409002

Title

Physician Assistant & Social Worker

Phone

(586) 457-6716

Specialties & licenses 3

Addresses

Locations

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.

• Victor D Harrell, LMSW, PA-C

  • Medical Physician Assistant
  • Detroit, MI
  • NPI 1922409002

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1811767981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR STE 205",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352626",
            "telephone_number": "586-457-6716",
            "fax_number": "313-474-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR STE 205",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352626",
            "telephone_number": "586-457-6716",
            "fax_number": "313-474-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT & SOCIAL WORKER",
        "authorized_official_telephone_number": "586-457-6716",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C, LMSW"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.