WILEY C. RASBURY PH.D. NPI 1720136310

NPI Information

  • NPI: 1720136310
  • Provider Name: WILEY C. RASBURY, PH.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: HENRY FORD HEALTH SYSTEM
    ONE FORD PLACE 1F -BEHAVIORAL
    DETROIT, MI
    ZIP 48202
  • Phone: (313) 876-6677

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NPI Details

Wiley C. Rasbury, PH.D. is a child and adolescent psychiatry psychiatry neurology in Detroit, MI. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Wiley C. Rasbury, PH.D. NPI is 1720136310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

HENRY FORD HEALTH SYSTEM
ONE FORD PLACE 1F -BEHAVIORAL
DETROIT, MI
ZIP 48202
Phone: (313) 876-6677
Fax: (313) 874-6650

The enumeration date for this NPI number is 1/8/2007 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
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry6301005311MICHIGANYes

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
1PHD888810MEDICAIDMICHIGAN
2WR005311OTHERCOMMERCIAL-COMMERCIAL NUMBER
3WR005311OTHERCHAMPUS-CHAMPUS
4S06861MEDICARE UPIN

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: 11/21/2025

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