Individual provider Active NPI

Natalie Rose Rea-Michalak, LLP, LLMSW

  • Clinical Psychologist
  • Clinton Township, MI
National Provider Identifier
1861725814
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014258 Issued in MI
Practice address
43900 Garfield Rd Ste 222
Clinton Township, MI 48038-1137
Phone
(586) 263-1234
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301014258 MI Primary
Clinical Social Worker 1041C0700X 6801089129 MI

Addresses

Primary practice location

43900 Garfield Rd Ste 222
Clinton Township, MI 48038-1137

Mailing address

47378 Michael Dr
Shelby Township, MI 48315-4783
Phone (586) 495-4704

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
I20100524000781 MI Practitioner - Clinical Psychologist 8426187865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51539 Van Dyke Ave
Shelby Township, MI 48316-4447
Phone (586) 461-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301014258MIMDClinical Psychologist
6801089129MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rea Counseling Services, PC CurrentSince Mar 31, 2011 Accepting new patients

Locations

51539 Van Dyke Ave
Shelby Township, MI 48316
Phone (586) 461-2111

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1861725814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47378 MICHAEL DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154783",
            "telephone_number": "586-495-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43900 GARFIELD RD STE 222",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381137",
            "telephone_number": "586-263-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA-MICHALAK",
        "first_name": "NATALIE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "LLP, LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014258",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.