Individual provider Active NPI

James Howard Eisenshtadt, PH.D.

  • Clinical Psychologist
  • West Bloomfield, MI
National Provider Identifier
1851328488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301003797 Issued in MI
Practice address
5600 W Maple Rd
Suite B208
West Bloomfield, MI 48322-3704
Phone
(248) 851-7181
Fax
(248) 851-1223
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301003797 MI Primary

Addresses

Primary practice location

5600 W Maple Rd
Suite B208
West Bloomfield, MI 48322-3704

Mailing address

5600 W Maple Rd
Suite B208
West Bloomfield, MI 48322-3704
Phone (248) 851-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000517 MI Practitioner - Clinical Psychologist 5698936524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5600 W Maple Rd
B208
West Bloomfield, MI 48322-3707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Counseling,P.C. CurrentSince Apr 19, 2012 Accepting new patients

Locations

5600 W Maple Rd
Ste B208
West Bloomfield, MI 48322
Phone (248) 851-7181

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851328488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "SUITE B208",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-851-7181",
            "fax_number": "248-851-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "SUITE B208",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-851-7181",
            "fax_number": "248-851-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENSHTADT",
        "first_name": "JAMES",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.