Active NPI
Krzysztof Mlak, MD,PC
- Child & Adolescent Psychiatry Physician
- Auburn Hills, MI
National Provider Identifier
1891248225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 43010906694
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 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 DirectoryNPI 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.