WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1356556575
Counselor in Livonia, MI
NPI Status: Active since May 11, 2007
Contact Information
16836 NEWBURGH RD
LIVONIA, MI
ZIP 48154
Phone: (734) 464-4220
Fax: (734) 464-5885
- Organization
- Counselor
- Accepts Insurance
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 Livonia, Michigan operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1356556575 assigned on May 2007. 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. Wayne State University Physician Group operates as a multi-specialty business group with one or more individual providers who practice different areas 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
- 1356556575
- 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
- 16836 NEWBURGH RD LIVONIA, MI 48154
- Location Phone
- (734) 464-4220
- Location Fax
- (734) 464-5885
- Mailing Address
- 1560 E MAPLE RD STE 400-CREDENTIALING DEPT. TROY, MI 48083
- Mailing Phone
- (248) 581-5973
- Mailing Fax
- (734) 464-5885
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-11-2007
- Last Update Date
- 10-26-2016
- Code Navigator
Location Map
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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | |
| 2 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 5 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Metro Detroit HMO Bronze Extra - HMO
- Blue Cross� Metro Detroit HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0H22830 | OTHER (01) | MI | BCBSM GROUP # - NP |
| 0H22832 | OTHER (01) | MI | BCBSM GROUP # - MD/DO |
| 0P32050 | OTHER (01) | MI | MEDICARE GROUP # - SOCIAL WORKER |
| 0H22874 | OTHER (01) | MI | BCBSM GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST |
| 0P32060 | OTHER (01) | MI | MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST |
| 0P32120 | OTHER (01) | MI | MEDICARE GROUP # - MD/DO FEE LOCALITY 99 |
| 0P32180 | OTHER (01) | MI | MEDICARE GROUP # - NP |
| 0H22872 | OTHER (01) | MI | BCBSM GROUP # - SOCIAL WORKER |
| 0P30630 | OTHER (01) | MI | MEDICARE GROUP # - MD/DO |
Reviews for WAYNE STATE UNIVERSITY PHYSICIAN GROUP
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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. | |||||||||
| 1 | 3 | 5 | 6 | 5 | 5 | 6 | 5 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 10 | 5 | 12 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 1 + 2 + 5 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1356556575 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649227802 | ELIZABETH LANE MCCULLOUGH MD Individual | Psychiatry & Neurology (Psychiatry) | 16836 NEWBURGH RD UPC LIVONIA LIVONIA, MI 48154 (888) 362-7792 |
| 1043391089 | DR. JAMES NEIL BOW PH.D. Individual | Psychologist (Clinical) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1083808372 | TAMMODA M JOLLY LBSW Individual | Social Worker | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1699950048 | SABRINA ANN KUMAR Individual | Student in an Organized Health Care Education/Training Program | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1336325877 | ANNIE M GROSSMAN B.A. Individual | Student in an Organized Health Care Education/Training Program | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1790934156 | VICTORIA ANNE SARGENT SST Individual | Student in an Organized Health Care Education/Training Program | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1265765291 | KIMBERLY SHAYE DAWSON BSW Individual | Student in an Organized Health Care Education/Training Program | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1700131646 | JAIME M ARSENEAULT MA Individual | Student in an Organized Health Care Education/Training Program | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1295778413 | JUDY POURCHO MSW LMSW Individual | Social Worker (Clinical) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1346457942 | DR. REBECCA LEIGH KLISZ-HULBERT MD Individual | Psychiatry & Neurology (Psychiatry) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1154360402 | UNIVERSITY PHYSICIAN GROUP Organization | Social Worker | 16836 NEWBURGH RD LIVONIA, MI 48154 (888) 362-7792 |
| 1386681989 | VICTOR CHRISTOPHER AJLUNI MD Individual | Psychiatry & Neurology (Psychiatry) | 16836 NEWBURGH RD UPC LIVONIA LIVONIA, MI 48154 (888) 362-7792 |
| 1770771362 | COURTNEY D BORCHAK LMSW Individual | Social Worker (Clinical) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1255902227 | MALAK ALJAWOBAEI LLMSW Individual | Social Worker (Clinical) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1154854420 | BRITTANY ANNE HAMMOND D.O. Individual | Psychiatry & Neurology (Psychiatry) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1083353221 | MATTHEW RONALD JOHNSON LLMSW Individual | Social Worker (Clinical) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1972032423 | RACHEL ROSE SANTORO MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1619621653 | MADELINE BREDEWEG Individual | Social Worker (Clinical) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1649963844 | ERIN MCGRAW LLMSW Individual | Social Worker (Clinical) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
| 1518705987 | DESTINY PETERSON Individual | Social Worker (Clinical) | 16836 NEWBURGH RD LIVONIA, MI 48154 (734) 464-4220 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356556575, enumerated in the NPI registry as an "organization" on May 11, 2007
The provider is located at 16836 Newburgh Rd Livonia, Mi 48154 and the phone number is (734) 464-4220
This medical organization specializes in Counselor with taxonomy code 101Y00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 11, 2007. 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.