Carla J Groh, PHD APRN BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

4704098802 Issued in MI

Practice address

5555 Conner
Suite 2691
Detroit, MI 48213

Phone

(313) 579-1182

Fax

(313) 579-5128

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Mary Mercy Physician PracticesGroup PAC ID 4587742804, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgroh927206@direct.trinity-health.org
• Direct secure messaging: carla.groh.1@20091.direct.athenahealth.com

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.

• St Mary Mercy Physician Practices

  • Multi-Specialty Clinic/Center
  • Livonia, MI
  • NPI 1568630077
  Medicare reassignment Care Compare group NPD
• Carla Groh PHD LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Royal Oak, MI
  • NPI 1124859657
  NPD Authorized official
• St Mary Mercy Physician Practices

  • Urgent Care Clinic/Center
  • Livonia, MI
  • NPI 1184154544
  NPD
• St Mary Mercy Physician Practices

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1801303086
  NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1821180274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 CONNER",
            "address_2": "SUITE 2691",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48213",
            "telephone_number": "313-579-1182",
            "fax_number": "313-579-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER",
            "address_2": "SUITE 2691",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48213",
            "telephone_number": "313-579-1182",
            "fax_number": "313-579-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROH",
        "first_name": "CARLA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704098802",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704098802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821180274",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Ann Grix, RNC, NP
• Karen L Grobbel, OTR
• Dorota Grochowska
• Kelly Ann-Casselman Grocoff, LLMSW
• Anna Rosalie Groebe, D.O.
• Isaak Gross, RPH
• Shannon Gross
• Tiffany Monique Gross, CPHT
• Tracey Gross, RN
• Grosse Pointe Dialysis LLC

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.