CASSANDRA M. KLYMAN, M.D., P.C. NPI 1023294782

Clinic/Center (Medical Specialty) in Bloomfield Hills, MI

NPI 1023294782 Organization Clinic/Center Medical Specialty

About CASSANDRA M. KLYMAN, M.D., P.C.

Cassandra M. Klyman, M.d.,p.c. is a provider established in Bloomfield Hills, Michigan specializing in clinic/center (medical specialty) . The NPI number of Cassandra M. Klyman, M.d.,p.c. is 1023294782 and was assigned on January 2008. The practitioner's primary taxonomy code is 261QM2500X with license number 1403025565 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Cassandra M Klyman M.d. (President)

NPI

1023294782

Provider NameCASSANDRA M. KLYMAN, M.D.,P.C.
Provider Location Address3060 CHICKERING LN BLOOMFIELD HILLS, MI 48302
Provider Mailing Address3060 CHICKERING LN BLOOMFIELD HILLS, MI 48302
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-12-2008
Last Update Date01-12-2008


Primary Taxonomy

Taxonomy Code261QM2500X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMedical Specialty
License No.1403025565
License StateMI
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Business Address

CASSANDRA M. KLYMAN, M.D.,P.C.
3060 CHICKERING LN
BLOOMFIELD HILLS, MI
ZIP 48302
Phone: (248) 335-7194

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Mailing Address

CASSANDRA M. KLYMAN, M.D.,P.C.
3060 CHICKERING LN
BLOOMFIELD HILLS, MI
ZIP 48302
Phone: (248) 335-7194



Authorized Official

Authorized Official NameDR. CASSANDRA M KLYMAN M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(248) 335-7194

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F06182MEDICARE UPIN (02)MI
0635036OTHER (01)MI
024155OTHER (01)MI
0635036MEDICARE PIN (08)MI
021204OTHER (01)MI
170509OTHER (01)

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649226234DR. CASSANDRA MORLEY KLYMAN M.D
Individual
Psychiatry & Neurology (Psychiatry)3060 CHICKERING LN
BLOOMFIELD HILLS, MI 48302
(248) 335-7194

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.