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ELLEN M. ROTBLATT M.D. P.C. NPI 1578596110


NPI Information

NPI: 1578596110
Provider Name: ELLEN M. ROTBLATT, M.D., P.C.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
705 SOUTH MAIN STREET
SUITE 280
PLYMOUTH, MI
ZIP 48170
Phone: (734) 454-3560
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ELLEN M. ROTBLATT, M.D., P.C. is a psychiatry psychiatry neurology in Plymouth, 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. ELLEN M. ROTBLATT, M.D., P.C. NPI is 1578596110. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 SOUTH MAIN STREET
SUITE 280
PLYMOUTH, MI
ZIP 48170-089
Phone: (734) 454-3560
Fax: (734) 454-3570

The provider's authorized official is Ellen M Rotblatt .
The authorized official title is President, Board Certified Psychiat and has the following contact phone number (734) 454-3560.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 12/1/2011.


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
12084P0800XPsychiatry & NeurologyPsychiatry4301052943MICHIGANYes

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
12084P0800XOTHERMICHIGANMEDICAL DR. TAXONOMY #
2193400000XOTHERMICHIGANNPI SINGLE SPECIALTY TAXONOMY NUMBER
3F16401OTHERMICHIGANMEDICARE OPTED-OUT UPIN
411287336OTHERMICHIGANCAQH
54301052943OTHERMICHIGANMEDICAL LICENSE NUMBER MI

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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