WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1356556575
Counselor in Livonia, MI

Q: What is University Physician Group's NPI number?

The NPI number for University Physician Group is 1356556575. It was assigned to this organization in the NPPES registry on May 11, 2007. The provider is doing business as Wayne State University Physician Group.

Q: What is University Physician Group's specialty?

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

Active since May 11, 2007

16836 NEWBURGH RD, LIVONIA, MI 48154(734) 464-4220(734) 464-5885 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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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 1356556575) is a healthcare organization registered as a counselor in Livonia, Michigan and active in the NPI registry since May 2007. The organization lists Jeffery P Kohlitz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1356556575

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameUNIVERSITY PHYSICIAN GROUP

Location Address16836 NEWBURGH RDLivonia, MI 48154-1600

Mailing Address1560 E Maple Rd, Ste 400-credentialing Dept.Troy, MI 48083-1138 · (248) 581-5973 · Fax (248) 581-5640

Phone(734) 464-4220

Fax(734) 464-5885

Organization SubpartNo

Authorized OfficialJeffery P KohlitzChief Financial Officer · (248) 581-5930

Enumeration DateMay 11, 2007

Last NPPES UpdateOctober 26, 20162 updates tracked since enumeration

✔ NPI 1356556575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

16836 NEWBURGH RD, Livonia, MI 48154

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Other Names 1

Doing Business AsWayne State University Physician Group

Other Identifiers 9

Other0H22830MI · Bcbsm Group # - Np

Other0H22832MI · Bcbsm Group # - Md/do

Other0P32050MI · Medicare Group # - Social Worker

Other0H22874MI · Bcbsm Group # - Psychologist/neuropsychologist

Other0P32060MI · Medicare Group # - Psychologist/neuropsychologist

Other0P32120MI · Medicare Group # - Md/do Fee Locality 99

Other0P32180MI · Medicare Group # - Np

Other0H22872MI · Bcbsm Group # - Social Worker

Other0P30630MI · Medicare Group # - Md/do

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

ANNA STOCKER LLMSW

Social Worker