NPIMap

Organization Active NPI

Arbor Autism Pediatric Medical Centers PLLC

  • Developmental - Behavioral Pediatrics Physician
  • Ypsilanti, MI
National Provider Identifier
1891451035
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
ARBOR AUTISM PEDIATRIC MEDICAL CENTERS PLLC
Practice address
850 S Hewitt Rd Ste 100
Ypsilanti, MI 48197-4594
Phone
(734) 544-5561
Fax
(734) 527-5981
NPI assigned
Nov 11, 2021
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Philip MenardNPI 1225321763
Title
Manager
Phone
(734) 657-1470

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

850 S Hewitt Rd Ste 100
Ypsilanti, MI 48197-4594

Mailing address

850 S Hewitt Rd Ste 100
Ypsilanti, MI 48197-4594
Phone (734) 544-5561

National Provider Directory

National Provider Directory

Locations

2000 Brush St
Ste 440
Detroit, MI 48226

850 S Hewitt Rd
Ste W
Ypsilanti, MI 48197
Phone (734) 554-5561

Practitioners & affiliated clinicians

Practitioners 11

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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1891451035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S HEWITT RD STE 100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974594",
            "telephone_number": "734-544-5561",
            "fax_number": "734-527-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S HEWITT RD STE 100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974594",
            "telephone_number": "734-544-5561",
            "fax_number": "734-527-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR AUTISM PEDIATRIC MEDICAL CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-657-1470"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.