Individual provider Active NPI

Patricia Ann Plopa, PH.D.

  • Clinical Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1952463671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301 002100 Issued in MI
Practice address
4655 Pickering Rd
Bloomfield Hills, MI 48301-3631
Phone
(248) 737-6417
Fax
(248) 737-6417
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301 002100 MI Primary

Addresses

Primary practice location

4655 Pickering Rd
Bloomfield Hills, MI 48301-3631

Mailing address

4655 Pickering Rd
Bloomfield Hills, MI 48301-3631
Phone (248) 737-6417

Other identifiers 3

IdentifierTypeStateIssuer
1600-2949OtherAMERICAN PSYCHOLOGICAL AS
23357OtherMINATIONAL REGISTER
6301 002100OtherMIPSYCHOLOGIST LICENSE

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000274 MI Practitioner - Clinical Psychologist 8820286057 Practice locations: Bloomfield Hills, MI; Rochester Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4655 Pickering Rd
Bloomfield Hills, MI 48301-3631
Phone (248) 737-6417

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301 002100MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952463671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 PICKERING RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013631",
            "telephone_number": "248-737-6417",
            "fax_number": "248-737-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 PICKERING RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013631",
            "telephone_number": "248-737-6417",
            "fax_number": "248-737-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOPA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301 002100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN PSYCHOLOGICAL AS",
            "identifier": "1600-2949",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTER",
            "identifier": "23357",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "6301 002100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.