MARK KANNZAWA, D.O., P.L.C.
NPI 1831343417
Psychiatry & Neurology - Psychiatry in Woodhaven, MI

NPI Status: Active since November 10, 2008

Contact Information

23933 ALLEN RD
STE. 1
WOODHAVEN, MI
ZIP 48183
Phone: (734) 671-1753
Fax: (734) 671-8130

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About MARK KANNZAWA, D.O., P.L.C.

This page provides the complete NPI Profile along with additional information for Mark Kannzawa, D.o., P.l.c., a provider established in Woodhaven, Michigan operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1831343417 assigned on November 2008. The practitioner's primary taxonomy code is 2084P0800X with license number MK010480 (MI). The provider is registered as an organization and their NPI record was last updated 17 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 authorized official of this NPI record is Mark Kanzawa D.o. (Owner)

NPI
1831343417
Provider Name
MARK KANNZAWA, D.O., P.L.C.
Entity Type
Organization
Location Address
23933 ALLEN RD STE. 1 WOODHAVEN, MI 48183
Location Phone
(734) 671-1753
Location Fax
(734) 671-8130
Mailing Address
23933 ALLEN RD STE. 1 WOODHAVEN, MI 48183
Mailing Phone
(734) 671-1753
Mailing Fax
(734) 671-8130
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2008
Last Update Date
11-10-2008
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A psychiatrist like Mark Kannzawa, D.o., P.l.c. are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
MK010480
License State
MI
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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.

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

MARK KANZAWA D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(734) 671-1753

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
260042656OTHER (01)MIRR MEDICARE
4141722MEDICAID (05)MI 
5824919MEDICARE PIN (08)MI 
5824919OTHER (01)MIBCBSM
E85700MEDICARE UPIN (02)MI 

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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.
1831343417
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
286164642
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 6 + 4 + 6 + 4 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1831343417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902980923MRS. PEGGY ANN ROBERTSON LMSW, ACSW
Individual
Social Worker (Clinical)23933 ALLEN RD SUITE 3
WOODHAVEN, MI 48183
(734) 692-6440
1295897072 MARY ANN JOGANIC LMSW
Individual
Social Worker (Clinical)23933 ALLEN RD SUITE 3
WOODHAVEN, MI 48183
(313) 410-5672
1710044359DR. JANICE ACKER PSY D
Individual
Psychologist (Clinical)23933 ALLEN RD #15
WOODHAVEN, MI 48183
(734) 675-9700
1437579315CATHERINE CAMPBELL, LMSW, PLLC
Organization
Social Worker (Clinical)23933 ALLEN RD SUITE 3
WOODHAVEN, MI 48183
(734) 833-3134
1295128361SHERRY A DEES LMSW ACSW LLC
Organization
Social Worker (Clinical)23933 ALLEN RD STE. 3
WOODHAVEN, MI 48183
(734) 719-0863
1760493597MRS. CATHERINE ANN CAMPBELL LLMSW
Individual
Social Worker23933 ALLEN RD STE 3
WOODHAVEN, MI 48183
(313) 450-4500
1760529127NAGY PSYCHOLOGICAL SERVICES PC
Organization
Psychologist (Clinical)23933 ALLEN RD SUITE 13
WOODHAVEN, MI 48183
(734) 558-8112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831343417, enumerated in the NPI registry as an "organization" on November 10, 2008

The provider is located at 23933 Allen Rd Ste. 1 Woodhaven, Mi 48183 and the phone number is (734) 671-1753

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and 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 November 10, 2008. 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.