Individual provider Active NPI

Carol A Roekle

  • Psychiatry Physician
  • Farmington Hills, MI
National Provider Identifier
1902944507
Registry record updated Dec 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301030288 Issued in MI
Practice address
29994 Northwestern Hwy Ste H
Farmington Hills, MI 48334-3225
Phone
(248) 626-4444
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301030288 MI Primary

Addresses

Primary practice location

29994 Northwestern Hwy Ste H
Farmington Hills, MI 48334-3225

Mailing address

1736 Point St
Commerce TWP, MI 48382-2273
Phone (248) 626-4444

Other identifiers 1

IdentifierTypeStateIssuer
4627408MedicaidMI

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916001137 MI Practitioner - Psychiatry 8123095213 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Michigan Medical School, 1970
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Counseling Associates IncGroup PAC ID 0648225664, 14 clinicians

Practice addresses (Care Compare)

6960 Orchard Lake Rd
Suite 100
West Bloomfield, MI 48322-4523

6960 Orchard Lake Rd
Suite 240
West Bloomfield, MI 48322-4519
Phone (248) 626-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301030288MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates Inc CurrentSince Dec 15, 2012 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 1, 2003 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jul 1, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 1, 2003 Accepting new patients
Carol a. Roekle, M.D., P.C. CurrentSince Jan 2, 2008 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jul 1, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Counseling Associates, Incorporated Psychiatry Past Accepting new patients

Locations

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

15420 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 226-7007

29994 Northwestern Hwy
Ste H
Farmington Hills, MI 48334
Phone (248) 626-4444

2401 S Linden Rd
Flint, MI 48532
Phone (810) 957-4310

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355529600000",
    "number": "1902944507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 POINT ST",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483822273",
            "telephone_number": "248-626-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29994 NORTHWESTERN HWY STE H",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343225",
            "telephone_number": "248-626-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEKLE",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2012-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301030288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4627408",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.