Michigan Behavioral Medicine

LBN: Michigan Behavioral Medicine
Michigan Behavioral Medicine is an health care organization with primary practice located at 2525 Crooks Rd Ste 100 , Troy MI 48084-4733. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty. Michigan Behavioral Medicine can be contacted via phone (248) 731-7305, or through Joseph, Rene via phone (248) 703-1897.

Contact Information

Primary practice address
2525 Crooks Rd Ste 100 Troy MI 48084-4733
Phone: (248) 731-7305
Fax: (248) 731-7288
Website:
Map and Directions
Authorized official contact:
Name: Joseph, Rene
Phone: (248) 703-1897

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X Michigan

Profile Details

NPI number 1205134525
LBN Legal business name Michigan Behavioral Medicine
DBA Doing business as
Authorized official Joseph, Rene
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 10th, 2011
Last updated Jun 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205134525 NPPES
Michigan Other 1922195999 TYPE 2 NPI

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