WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1326087685
Counselor in Detroit, MI

NPI Status: Active since June 05, 2006

Contact Information

3901 CHRYSLER SERVICE DR
TOLAN PARK
DETROIT, MI
ZIP 48201
Phone: (888) 362-7792
Fax: (313) 993-3421

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  • Organization
  • Counselor

About WAYNE STATE UNIVERSITY PHYSICIAN GROUP

This page provides the complete NPI Profile along with additional information for Wayne State University Physician Group, a provider established in Detroit, Michigan operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1326087685 assigned on June 2006. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Wayne State University Physician Group. The authorized official of this NPI record is Mr. Jeffery P Kohlitz (Chief Financial Officer)

NPI
1326087685
Provider Legal Name
UNIVERSITY PHYSICIAN GROUP
Other Organization Name
WAYNE STATE UNIVERSITY PHYSICIAN GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3901 CHRYSLER SERVICE DR TOLAN PARK DETROIT, MI 48201
Location Phone
(888) 362-7792
Location Fax
(313) 993-3421
Mailing Address
1560 E MAPLE RD SUITE 400-CREDENTIALING DEPT. TROY, MI 48083
Mailing Phone
(248) 581-5973
Mailing Fax
(313) 993-3421
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2006
Last Update Date
10-26-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFFERY P KOHLITZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(248) 581-5930

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326087685
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23460814616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 0 + 8 + 1 + 4 + 6 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1326087685 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679633549DR. GABRIELLA GEISZT MD
Individual
Psychiatry & Neurology (Psychiatry)3901 CHRYSLER SERVICE DR
DETROIT, MI 48201
(313) 993-3434
1376742056 DAVID M LEDGERWOOD PHD
Individual
Psychologist3901 CHRYSLER SERVICE DR TOLAN PARK
DETROIT, MI 48201
(313) 993-3964
1720257207 WALTER OTTO SIEGL LMSW
Individual
Social Worker (Clinical)3901 CHRYSLER SERVICE DR TOLAN PARK
DETROIT, MI 48201
(313) 993-3964
1528007325UNIVERSITY PHYSICIAN GROUP
Organization
Registered Nurse3901 CHRYSLER SERVICE DR TOLAN PARK
DETROIT, MI 48201
(888) 362-7792
1568822963 MANISHA LEARY
Individual
Social Worker (Clinical)3901 CHRYSLER SERVICE DR
DETROIT, MI 48201
(313) 993-3434
1285950212 LYDIA C DITIRRO DO
Individual
Psychiatry & Neurology (Psychiatry)3901 CHRYSLER SERVICE DR TOLAN PARK
DETROIT, MI 48201
(313) 993-3434
1932596731 TAKAKO BENN
Individual
Psychiatry & Neurology (Psychiatry)3901 CHRYSLER SERVICE DR SUITE 5-A, 538.4
DETROIT, MI 48201
(313) 577-7523
1346631470MS. LACRETIA FISHER PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3901 CHRYSLER SERVICE DR TOLAN PARK
DETROIT, MI 48201
(313) 993-3434
1740927045 ZUZANA SVIATKOVA M.D.
Individual
Student in an Organized Health Care Education/Training Program3901 CHRYSLER SERVICE DR
DETROIT, MI 48201
(313) 993-3964

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326087685, enumerated in the NPI registry as an "organization" on June 05, 2006

The provider is located at 3901 Chrysler Service Dr Tolan Park Detroit, Mi 48201 and the phone number is (888) 362-7792

This medical organization specializes in Counselor with taxonomy code 101Y00000X

This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.