Active NPI
Elizabeth J Rook, REGISTERED NURSE
- Registered Nurse
- Wayne, MI
National Provider Identifier
1861559395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704134518
- Practice address
- Psychiatric Intervention Center
33101 Annapolis Suite B
Wayne, MI 48184 - Phone
- (734) 721-0200
- Fax
- (734) 721-1766
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704134518 | MI | Primary |
Addresses
Primary practice location
Psychiatric Intervention Center
33101 Annapolis Suite B
Wayne, MI 48184
Mailing address
16490 Silverado Dr
Southgate, MI 48195
Phone (734) 285-4956
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704134518 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hegira Health, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Westland, MI
- NPI 1477141356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861559395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16490 SILVERADO DR",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "48195",
"telephone_number": "734-285-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PSYCHIATRIC INTERVENTION CENTER",
"address_2": "33101 ANNAPOLIS SUITE B",
"city": "WAYNE",
"state": "MI",
"postal_code": "48184",
"telephone_number": "734-721-0200",
"fax_number": "734-721-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOK",
"first_name": "ELIZABETH",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704134518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.