NPIMap

Organization Active NPI

Mind Body and Soul Psychiatric Services

  • Psychiatry Physician
  • Farmington Hills, MI
National Provider Identifier
1841503406
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301076878 Issued in MI
Legal business name
MIND BODY AND SOUL PSYCHIATRIC SERVICES
Practice address
28592 Orchard Lake Rd Ste 305
Farmington Hills, MI 48334-2903
Phone
(248) 797-2031
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. Timothy Lamar Chapman, M.D.
Title
President
Phone
(313) 530-3452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301076878 MI Primary

Addresses

Primary practice location

28592 Orchard Lake Rd Ste 305
Farmington Hills, MI 48334-2903

Mailing address

23744 Cora Ave
Farmington Hills, MI 48336-2620
Phone (248) 797-2031

National Provider Directory

National Provider Directory
Tax ID family
Mind Body and Soul Psychiatric Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1841503406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23744 CORA AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362620",
            "telephone_number": "248-797-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD STE 305",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342903",
            "telephone_number": "248-797-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY AND SOUL PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-530-3452",
        "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": "4301076878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.