GLENDALE NEUROLOGICAL ASSOCIATES P C
NPI 1639134414
Psychiatry & Neurology - Neurology in Farmington Hills, MI

NPI Status: Active since April 18, 2006

Contact Information

28595 ORCHARD LAKE RD
SUITE 200
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 553-0010
Fax: (248) 553-0818

Get Directions Reviews

  • Organization
  • Psychiatry & Neurology
  • Neurology
  • Accepts Insurance

About GLENDALE NEUROLOGICAL ASSOCIATES P C

This page provides the complete NPI Profile along with additional information for Glendale Neurological Associates P C, a provider established in Farmington Hills, Michigan operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1639134414 assigned on April 2006. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Glendale Neurological Associates P C operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. William D Boudouris Do (President)

NPI
1639134414
Provider Legal Name
GLENDALE NEUROLOGICAL ASSOCIATES P C
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
28595 ORCHARD LAKE RD SUITE 200 FARMINGTON HILLS, MI 48334
Location Phone
(248) 553-0010
Location Fax
(248) 553-0818
Mailing Address
28595 ORCHARD LAKE RD SUITE 200 FARMINGTON HILLS, MI 48334
Mailing Phone
(248) 553-0010
Mailing Fax
(248) 553-0818
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2006
Last Update Date
03-05-2025
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Location Map

Secondary Locations

  • 25100 Kelly Rd
    Roseville, MI 48066
    (248) 553-0010
  • 25150 Ford Rd Ste 100
    Dearborn Heights, MI 48127
    (248) 553-0010
  • 14750 King Rd
    Riverview, MI 48193
    (248) 553-0010

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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License State
MI
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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)
1208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

 
2261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 

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:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - 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� 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
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. WILLIAM D BOUDOURIS DO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(248) 553-0010

Reviews for GLENDALE NEUROLOGICAL ASSOCIATES P C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1639134414
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266923842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 3 + 8 + 4 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1639134414 is valid because the calculated check digit 4 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
1891765160 SHAWN L BOLTON D.O.
Individual
Psychiatry & Neurology (Neurology)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1871563130 RICHARD B GARGULINSKI D.O.
Individual
Psychiatry & Neurology (Neurology)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1497867766MR. PATRICK RAYMOND DIMMER PT
Individual
Physical Therapist28595 ORCHARD LAKE RD 100
FARMINGTON HILLS, MI 48334
(248) 553-0010
1407843774DR. AHMED E. EZZ MD
Individual
Radiology (Radiation Oncology)28595 ORCHARD LAKE RD #110
FARMINGTON HILLS, MI 48334
(248) 553-0606
1184684136 ALVARO A. MARTINEZ MD
Individual
Radiology (Radiation Oncology)28595 ORCHARD LAKE RD
FARMINGTON HILLS, MI 48334
(248) 553-0606
1619244142MRS. COLLEEN DEVOE ALTMAN CRNP
Individual
Nurse Practitioner (Adult Health)28595 ORCHARD LAKE RD BUILDING #110 M.I.N.D.
FARMINGTON HILLS, MI 48334
(248) 553-0606
1174953020MRS. WENDY SUE EVOLA NP
Individual
Nurse Practitioner (Primary Care)28595 ORCHARD LAKE RD
FARMINGTON HILLS, MI 48334
(248) 553-0606
1215926522DR. DAVID A GREEN D.O.
Individual
Psychiatry & Neurology (Neurology)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1538139886 SUSAN L SMIETANA D.O.
Individual
Psychiatry & Neurology (Neurology)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1215907506 JOHN P MANICA M.D.
Individual
Pediatrics28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1962472241 AARON L ELLENBOGEN D.O.
Individual
Psychiatry & Neurology (Neurology)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1619293818 HEATHER ANNE LITTLE D.O.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1922312487 MEGHAN REGINA HARPER-SHANKIE MD
Individual
Pediatrics (Neurodevelopmental Disabilities)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1720053218MIRO-FARMINGTON HILLS
Organization
Radiology (Radiation Oncology)28595 ORCHARD LAKE RD SUITE 110
FARMINGTON HILLS, MI 48334
(248) 553-0606
1295814200PATRICIA M. MOYLAN PHD PLLC
Organization
Clinical Neuropsychologist28595 ORCHARD LAKE RD STE. 125
FARMINGTON HILLS, MI 48334
(248) 553-2558
1093785776 M E MCCORMICK D.O.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1093381428 LAUREN KASSAB DO
Individual
Psychiatry & Neurology (Neurology)28595 ORCHARD LAKE RD
FARMINGTON HILLS, MI 48334
(248) 553-0010
1073250940 AMY ISHBIA DO
Individual
Psychiatry & Neurology (Neurology)28595 ORCHARD LAKE RD
FARMINGTON HILLS, MI 48334
(248) 553-0010
1013906601 PAUL HAROLD FINKEL D.O.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010
1912996265DR. DAVID A SIMPSON D.O.
Individual
Psychiatry & Neurology (Neurology)28595 ORCHARD LAKE RD SUITE 200
FARMINGTON HILLS, MI 48334
(248) 553-0010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639134414, enumerated in the NPI registry as an "organization" on April 18, 2006

The provider is located at 28595 Orchard Lake Rd Suite 200 Farmington Hills, Mi 48334 and the phone number is (248) 553-0010

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. 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 April 18, 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.