Maple Psychiatric Associates, P.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

4301052026 Issued in MI

Legal business name

MAPLE PSYCHIATRIC ASSOCIATES, P.C.

Practice address

5640 W Maple Rd Ste 310
West Bloomfield, MI 48322-3719

Phone

(248) 932-0290

Fax

(248) 932-0358

NPI assigned

Dec 11, 2007

Last updated

Dec 11, 2007By 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. Kathleen Michelle Brazzle, M.D.

Title

Psychiatrist

Phone

(248) 932-0290

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Camille Brazzle, MD

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1194286484
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1932382181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 W MAPLE RD STE 310",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223719",
            "telephone_number": "248-932-0290",
            "fax_number": "248-932-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 W MAPLE RD STE 310",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223719",
            "telephone_number": "248-932-0290",
            "fax_number": "248-932-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE PSYCHIATRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "BRAZZLE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "248-932-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "4301052026",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "4301052026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilhelmina Manuel, PT
• Elisabeth R. Maodus, NP
• Maple Cardiology & Internal Medicine, PLLC
• Maple Home Health Care LLC
• Maple Pharmacy, Inc.
• Maple-Drake Real Estate, LLC (Notting Hill of West Bloomfield)
• Nancy A. Maranto, AU.D
• Marc S Brodsky MD PC
• Amy Marcotte
• Andrea Lynne Marcus, APRN, BC

• Adolescent and Children Mental Health Clinic/Center in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Adolescent and Children Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.