NPIMap

Organization Active NPI

Michigan State University Dept of Psychiatry

  • Clinical Psychologist
  • East Lansing, MI
National Provider Identifier
1952337545
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MICHIGAN STATE UNIVERSITY DEPT OF PSYCHIATRY
Practice address
909 Fee Rd Room B119
East Lansing, MI 48824-6549
Phone
(517) 353-3070
Fax
(517) 432-3603
NPI assigned
Jun 24, 2006
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Karen L. Romig
Title
Provider Enrollment
Phone
(517) 884-2976

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

909 Fee Rd Room B119
East Lansing, MI 48824-6549

Mailing address

804 Service Rd
A201
East Lansing, MI 48824-7015
Phone (517) 884-2976

Other names 1

  • MSU Department of Psychiatry Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1952337545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "A201",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 FEE RD ROOM B119",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488246549",
            "telephone_number": "517-353-3070",
            "fax_number": "517-432-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN STATE UNIVERSITY DEPT OF PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "ROMIG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "517-884-2976"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSU Department of Psychiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.