DR. CARLA J GROH PHD APRN BC NPI 1821180274

NPI Information

NPI: 1821180274
Provider Name: DR. CARLA J GROH, PHD APRN BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5555 CONNER
SUITE 2691
DETROIT, MI
ZIP 48213
Phone: (313) 579-1182
Get Directions

DR. Carla J Groh, PHD APRN BC is a psychiatric/mental health nurse practitioner in Detroit, MI with 41 years of experience. DR. Carla J Groh, PHD APRN BC NPI is 1821180274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5555 CONNER
SUITE 2691
DETROIT, MI
ZIP 48213
Phone: (313) 579-1182
Fax: (313) 579-5128

The NPI 1821180274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	4704098802	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N88860005	MEDICARE ID-TYPE UNSPECIFIED
2	4635769	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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