Evan Fradi

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301108349 Issued in MI

Practice address

888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762

Phone

(248) 244-8644

NPI assigned

May 8, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: evan.fradi.1@28621.direct.athenahealth.com

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

• Optum Behavioral Care of Colorado, P.C.

  dba Perspectives Counseling Centers of Michigan

  • Clinical Psychologist
  • Troy, MI
  • NPI 1679343008
  Medicare reassignment Care Compare group NPD
• St Joseph Mercy Hospital

  • Otolaryngology Physician
  • Ypsilanti, MI
  • NPI 1659499705
  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  dba Perspectives Counseling Centers of Michigan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Troy, MI
  • NPI 1619734969
  NPD
• St Joseph Mercy Hospital

  • Urgent Care Clinic/Center
  • Canton, MI
  • NPI 1184743866
  NPD
• St Joseph Mercy Hospital

  • Internal Medicine Physician
  • Ypsilanti, MI
  • NPI 1649399197
  NPD
• St Joseph Mercy Hospital

  • Clinical Neuropsychologist
  • Ypsilanti, MI
  • NPI 1841318714

  Psychiatry

  NPD
• St Joseph Mercy Hospital

  • Cardiac Rehabilitation Clinic/Center
  • Ypsilanti, MI
  • NPI 1902359094
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1932587110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 W BIG BEAVER RD STE 1450",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844762",
            "telephone_number": "248-244-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BIG BEAVER RD STE 1450",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844762",
            "telephone_number": "248-244-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRADI",
        "first_name": "EVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301108349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Fowlkes
• Kimberly Anne Fox, FNP-C
• Marie Annette Fox, LMSW
• Jennifer Elizabeth Fraboni, PT,DPT
• Dana Fradi
• Shireen Fradi, NP
• Lisa Ann Francek, LMSW
• Frances Place LLC
• Anthony Franco, PA
• Cathrine B. Frank, M.D.

• Psychiatry Physician in Troy, MI
• Providers in Troy, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.