WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1265647481
Counselor in Detroit, MI
NPI Status: Active since May 11, 2007
Contact Information
3901 BEAUBIEN ST
4TH FLR CARLS BLDG
DETROIT, MI
ZIP 48201
Phone: (313) 745-4878
Fax: (313) 993-0282
- 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 1265647481 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 10 years ago. Wayne State University Physician Group operates as a Multi-Specialty Group with one or more individual practitioners, 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
- 1265647481
- 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 BEAUBIEN ST 4TH FLR CARLS BLDG DETROIT, MI 48201
- Location Phone
- (313) 745-4878
- Location Fax
- (313) 993-0282
- Mailing Address
- 1560 E MAPLE RD STE 400-CREDENTIALING DEPT. TROY, MI 48083
- Mailing Phone
- (248) 581-5973
- Mailing Fax
- (313) 993-0282
- 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:
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 |
|---|---|---|---|
| 0H22832 | OTHER (01) | MI | BCBSM GROUP # - MD/DO |
| 0H22872 | OTHER (01) | MI | BCBSM GROUP # - SOCIAL WORKER |
| 0P32180 | OTHER (01) | MI | MEDICARE GROUP # - NP |
| 0P32050 | OTHER (01) | MI | MEDICARE GROUP # - SOCIAL WORKER |
| 0P32120 | OTHER (01) | MI | MEDICARE GROUP # - MD/DO FEE LOCALITY 99 |
| 0H22821 | OTHER (01) | MI | BCBSM GROUP # |
| 0P30630 | OTHER (01) | MI | MEDICARE GROUP # - MD/DO |
| 0P32060 | OTHER (01) | MI | MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST |
| 0H22874 | OTHER (01) | MI | BCBSM GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST |
| 0H228310 | OTHER (01) | MI | BCBSM GROUP # - NP |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265647481, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265647481, enumerated as an "organization" on May 11, 2007.
The provider is located at 3901 BEAUBIEN ST 4TH FLR CARLS BLDG DETROIT, MI 48201 and the phone number is (313) 745-4878.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
