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MICHIGAN STATE UNIVERSITY NPI 1083666820


NPI Information

NPI: 1083666820
Provider Name: MICHIGAN STATE UNIVERSITY
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 23D2222969

Address:
909 FEE RD
ROOM B119
EAST LANSING, MI
ZIP 48824
Phone: (517) 353-3070
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MICHIGAN STATE UNIVERSITY is a psychiatry psychiatry neurology in East Lansing, MI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MICHIGAN STATE UNIVERSITY NPI is 1083666820. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

909 FEE RD
ROOM B119
EAST LANSING, MI
ZIP 48824-410
Phone: (517) 353-3070
Fax: (517) 432-3603

The provider's authorized official is Karen L Romig .
The authorized official title is Provider Enrollment and has the following contact phone number (517) 884-2976.

The CLIA number assigned to this NPI record is 23D2222969 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 9/16/2016.


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
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
22084F0202XPsychiatry & NeurologyForensic PsychiatryNo
32084P0005XPsychiatry & NeurologyNeurodevelopmental DisabilitiesNo
42084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
62084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
72084P2900XPsychiatry & NeurologyPain MedicineNo
8103T00000XPsychologistNo
92084P0800XPsychiatry & NeurologyPsychiatryYes

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

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