Organization Active NPI

Krzysztof Mlak, MD,PC

  • Child & Adolescent Psychiatry Physician
  • Auburn Hills, MI
National Provider Identifier
1891248225
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
43010906694 Issued in MI
Legal business name
KRZYSZTOF MLAK, MD,PC
Practice address
1525 University Dr
Auburn Hills, MI 48326-2673
Phone
(810) 794-7750
Fax
(844) 269-7554
NPI assigned
Aug 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Krzysztof Mlak, MD
Title
Owner
Phone
(586) 838-6893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 43010906694 MI Primary

Addresses

Primary practice location

1525 University Dr
Auburn Hills, MI 48326-2673

Mailing address

200 River Place Dr Apt 24
Detroit, MI 48207-4400
Phone (586) 838-6893

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1891248225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVER PLACE DR APT 24",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074400",
            "telephone_number": "586-838-6893",
            "fax_number": "844-269-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 UNIVERSITY DR",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262673",
            "telephone_number": "810-794-7750",
            "fax_number": "844-269-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRZYSZTOF MLAK, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "MLAK",
        "authorized_official_first_name": "KRZYSZTOF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-838-6893",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "43010906694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.