Individual provider Active NPI

Greeley G Miklashek, MD

  • Psychiatry Physician
  • Muskegon, MI
National Provider Identifier
1962473082
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301061219 Issued in MI
Practice address
1735 Peck St
Muskegon, MI 49441-2507
Phone
(231) 725-8143
Fax
(231) 722-6484
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301061219 MI Primary

Addresses

Primary practice location

1735 Peck St
Muskegon, MI 49441-2507

Mailing address

1735 Peck St
Muskegon, MI 49441-2507
Phone (231) 725-8143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackley Life Counseling Past Accepting new patients
Claystone Clinical Associates PLC Psychiatry PastSince Aug 24, 2009 Accepting new patients
Hackley Life Counseling Past Accepting new patients
Claystone Clinical Associates PLC Psychiatry PastSince May 26, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1962473082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412507",
            "telephone_number": "231-725-8143",
            "fax_number": "231-722-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412507",
            "telephone_number": "231-725-8143",
            "fax_number": "231-722-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLASHEK",
        "first_name": "GREELEY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301061219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.