Individual provider Active NPI

Harold E. Joh, MD

  • Psychiatry Physician
  • Bloomfield Hills, MI
National Provider Identifier
1841264744
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301035473 Issued in MI
Practice address
5381 Deep Wood Rd.
Bloomfield Hills, MI 48302-2912
Phone
(248) 644-8351
Fax
(248) 644-8351
NPI assigned
Feb 15, 2006
Last updated
Jan 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301035473 MI Primary

Addresses

Primary practice location

5381 Deep Wood Rd.
Bloomfield Hills, MI 48302-2912

Mailing address

5381 Deep Wood Rd.
Bloomfield Hills, MI 48302-2912
Phone (248) 644-8351

Other identifiers 3

IdentifierTypeStateIssuer
101005067MedicaidMI
ON15280010OtherMEDICARE
0636264OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301035473MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harold Joh, MD.PC PastSince May 1, 1980 Accepting new patients
Apex Behavioral Health,PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1841264744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5381 DEEP WOOD RD.",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022912",
            "telephone_number": "248-644-8351",
            "fax_number": "248-644-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5381 DEEP WOOD RD.",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022912",
            "telephone_number": "248-644-8351",
            "fax_number": "248-644-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOH",
        "first_name": "HAROLD",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301035473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101005067",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ON15280010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0636264",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

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