Eleanor Medina MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2606304582 Issued in MI

Legal business name

ELEANOR MEDINA MD PC

Practice address

60 Balfour Dr
Bloomfield Hills, MI 48304-2100

Phone

(248) 258-5839

NPI assigned

Jan 7, 2013

Last updated

Jan 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eleanor Medina, M.D.

Title

Psychiatrist

Phone

(248) 258-5839

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1912244310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BALFOUR DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042100",
            "telephone_number": "248-258-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BALFOUR DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042100",
            "telephone_number": "248-258-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR MEDINA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "248-258-5839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "2606304582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry S Efros, RPH
• Katharine Brooke Ehmann
• Elizabeth Rose Eiten, LMSW
• Mary Beth Elaswad, MS CCC-SLP
• Maria Estelle Elder, LLPC
• Ahmad Talal Elhaouli, DPM
• Elizabeth Eiten LMSW LLC
• Christine Elkhoury, RD, LDN
• Ellen a. Janetzke, M.D., P.C.
• Ralph A Ellis, PT

• Psychiatry Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.