Provider Type Icon

ADVANCED NEURO FEEDBACK NPI 1083851695


NPI Information

NPI: 1083851695
Provider Name: ADVANCED NEURO FEEDBACK
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
27950 ORCHARD LAKE RD
SUITE 115
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 626-0066
Get Directions

ADVANCED NEURO FEEDBACK is a neurology with special qualifications in child neurology psychiatry neurology in Farmington Hills, MI. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. ADVANCED NEURO FEEDBACK NPI is 1083851695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

27950 ORCHARD LAKE RD
SUITE 115
FARMINGTON HILLS, MI
ZIP 48334-758
Phone: (248) 626-0066
Fax: (248) 626-0069

The provider's authorized official is Ramesh Chheda .
The authorized official title is Owner and has the following contact phone number (248) 626-0066.

The enumeration date for this NPI number is 1/20/2009 and was last updated on 2/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208D00000XGeneral PracticeNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B45420MEDICARE UPINMICHIGAN
21867240MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.