Carol Cox Van Andel, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301049949 Issued in MI

Practice address

37040 Garfield Rd
Ste T-5
Clinton TWP, MI 48036-3646

Phone

(586) 203-1260

Fax

(586) 203-1261

NPI assigned

Jul 28, 2006

Last updated

Nov 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Carol Ann Cox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1841204690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39211 LANSE CREUSE ST",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480452070",
            "telephone_number": "586-954-2761",
            "fax_number": "586-203-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37040 GARFIELD RD",
            "address_2": "STE T-5",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363646",
            "telephone_number": "586-203-1260",
            "fax_number": "586-203-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ANDEL",
        "first_name": "CAROL",
        "middle_name": "COX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-11-05",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301049949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2605041432",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2873850",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "COX",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychiatry Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.