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WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1326087685
Counselor in Detroit, MI

Active since June 05, 2006
3901 CHRYSLER SERVICE DR, TOLAN PARK, DETROIT, MI 48201(888) 362-7792(313) 993-3421 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2016, Jun 14, 2016 (2 updates tracked since 2016).

About Wayne State University Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE STATE UNIVERSITY PHYSICIAN GROUP (NPI 1326087685) is a healthcare organization registered as a counselor in Detroit, Michigan and active in the NPI registry since June 2006. The organization lists Jeffery P Kohlitz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1326087685
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameUNIVERSITY PHYSICIAN GROUP
Location Address3901 CHRYSLER SERVICE DR, TOLAN PARKDetroit, MI 48201-2167
Mailing Address1560 E Maple Rd, Suite 400-credentialing Dept.Troy, MI 48083-1138 · (248) 581-5973 · Fax (248) 581-5640
Phone(888) 362-7792
Fax(313) 993-3421
Organization SubpartNo
Authorized OfficialJeffery P KohlitzChief Financial Officer · (248) 581-5930
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 26, 20162 updates tracked since enumeration
✔ NPI 1326087685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

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.

3901 CHRYSLER SERVICE DR, Detroit, MI 48201
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Other Names 1

Doing Business AsWayne State University Physician Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYDIA C DITIRRO DO
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER SERVICE DR, TOLAN PARK
DETROIT, MI 48201
Wayne County (313) 993-3434
MS. LACRETIA FISHER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER SERVICE DR, TOLAN PARK
DETROIT, MI 48201
Wayne County (313) 993-3434
UNIVERSITY PHYSICIAN GROUP
Registered Nurse
3901 CHRYSLER SERVICE DR, TOLAN PARK
DETROIT, MI 48201
Wayne County (888) 362-7792
MANISHA LEARY
Social Worker (Clinical)
3901 CHRYSLER SERVICE DR
DETROIT, MI 48201
Wayne County (313) 993-3434
DR. GABRIELLA GEISZT MD
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER SERVICE DR
DETROIT, MI 48201
Wayne County (313) 993-3434
WALTER OTTO SIEGL LMSW
Social Worker (Clinical)
3901 CHRYSLER SERVICE DR, TOLAN PARK
DETROIT, MI 48201
Wayne County (313) 993-3964
EMILY ANIBAL MD
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER SERVICE DR
DETROIT, MI 48201
Wayne County (313) 577-5283
TAKAKO BENN
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER SERVICE DR, SUITE 5-A, 538.4
DETROIT, MI 48201
Wayne County (313) 577-7523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Physician Group's NPI number?

The NPI number for University Physician Group is 1326087685. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Wayne State University Physician Group.

Where is University Physician Group located?

University Physician Group is located at 3901 Chrysler Service Dr Tolan Park, Detroit, MI 48201. The listed phone number is (888) 362-7792.

What is University Physician Group's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for University Physician Group was last updated on October 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.