WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1366481160
Psychologist in Detroit, MI

Active since June 06, 2006
3901 CHRYSLER DR, TOLAN PARK, DETROIT, MI 48201(888) 362-7792(313) 993-1372 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, Feb 16, 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 1366481160) is a healthcare organization registered as a psychologist 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

NPI1366481160
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameUNIVERSITY PHYSICIAN GROUP
Location Address3901 CHRYSLER 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
Fax(313) 993-1372
Organization SubpartNo
Authorized OfficialJeffery P KohlitzChief Financial Officer · (248) 581-5930
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 26, 20162 updates tracked since enumeration
NPI 1366481160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3901 CHRYSLER DR, Detroit, MI 48201

Other Names 1

Doing Business AsWayne State University Physician Group

Other Identifiers 3

Other0P32060MI · Medicare Group # - Psychologist/neuropsychologist
Other0H22874MI · Bcbsm Group Number
Medicare PIN0P32060MI

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

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Women's Health)
3901 CHRYSLER DR
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Internal Medicine (Infectious Disease)
3901 CHRYSLER DR, SUITE 4A
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Nurse Practitioner (Acute Care)
3901 CHRYSLER DR, SUITE 4A
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR
DETROIT, MI 48201

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 1366481160. It was assigned to this organization in the NPPES registry on June 6, 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 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 Psychologist with taxonomy code 103T00000X.

What insurance does University Physician Group accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list University Physician Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Physician Group was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.