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UNIVERSITY PHYSICIAN GROUP
NPI 1457390254
Clinical Neuropsychologist in Detroit, MI

Active since June 06, 2006
4201 SAINT ANTOINE ST., SUITE 8D, DETROIT, MI 48201(313) 745-4275 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Physician Group NPPES

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

UNIVERSITY PHYSICIAN GROUP (NPI 1457390254) is a healthcare organization registered as a clinical neuropsychologist in Detroit, Michigan and active in the NPI registry since June 2006. The organization lists Kenneth P. Lee, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1457390254
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameUNIVERSITY PHYSICIAN GROUP
Location Address4201 SAINT ANTOINE ST., SUITE 8DDetroit, MI 48201
Mailing Address3800 Woodward Ave, Suite 600Detroit, MI 48201-2061
Phone(313) 745-4275
Organization SubpartNo
Authorized OfficialKenneth P. LeeChief Administrative Officer · (313) 577-8112
Enumeration DateJune 6, 2006
Last NPPES UpdateDecember 12, 2007
✔ NPI 1457390254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
4201 SAINT ANTOINE ST., Detroit, MI 48201
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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 2

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

PAAWANJOT KAUR MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST., SUITE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
UNIVERSITY INTERNAL MEDICINE SPECIALISTS
Hospitalist
4201 SAINT ANTOINE ST., SUITE 5C
DETROIT, MI 48201
Wayne County (313) 745-4525

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 1457390254. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is University Physician Group located?

University Physician Group is located at 4201 Saint Antoine St. Suite 8D, Detroit, MI 48201. The listed phone number is (313) 745-4275.

What is University Physician Group's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for University Physician Group was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.