Organization Active NPI

Birmingham Counseling Center, P.C.

  • Psychosomatic Medicine Physician
  • Birmingham, MI
National Provider Identifier
1861608937
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
Legal business name
BIRMINGHAM COUNSELING CENTER, P.C.
Practice address
1137 Holland St
Birmingham, MI 48009-6849
Phone
(248) 644-3605
NPI assigned
May 15, 2007
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Dr. Howard R Belkin, M.D.NPI 1346238375
Title
Physician President
Phone
(248) 644-3605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X NU Primary

Addresses

Primary practice location

1137 Holland St
Birmingham, MI 48009-6849

Mailing address

1137 Holland St
Birmingham, MI 48009-6849
Phone (248) 644-3605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000678 MI Part B Supplier - Clinic/Group Practice 5092766022 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, MI

National Provider Directory

National Provider Directory

Locations

1137 Holland St
Birmingham, MI 48009
Phone (248) 644-3605

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1861608937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 HOLLAND ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096849",
            "telephone_number": "248-644-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 HOLLAND ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096849",
            "telephone_number": "248-644-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM COUNSELING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "BELKIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "248-644-3605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.