WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1538374756
Counselor in Detroit, MI
- Organization
- Counselor
- Accepts Insurance
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 1538374756 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
- 1538374756 Verify this NPI
- 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 CHRYSLER DR TOLAN PARK DETROIT, MI 48201
- Location Phone
- (313) 993-3434
- Location Fax
- (313) 993-3421
- Mailing Address
- 1560 E MAPLE RD SUITE 400-CREDENTIALING DEPT. TROY, MI 48083
- Mailing Phone
- (248) 581-5973
- Mailing Fax
- (248) 581-5640
- 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 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 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:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
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 |
|---|---|---|---|
| 0H22874 | OTHER (01) | MI | BCBSM GROUP NUMBER |
| 0P32050 | MEDICARE PIN (08) | MI | |
| 0P32180 | MEDICARE PIN (08) | MI | |
| 0H22832 | OTHER (01) | MI | BCBSM GROUP NUMBER |
| 0P32060 | MEDICARE PIN (08) | MI | |
| 0H22872 | OTHER (01) | MI | BCBSM GROUP NUMBER |
| 0P30630 | MEDICARE PIN (08) | MI | |
| 0H22830 | OTHER (01) | MI | BCBSM GROUP NUMBER |
Reviews for WAYNE STATE UNIVERSITY PHYSICIAN GROUP
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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
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538374756, enumerated as an "organization" on May 11, 2007.
The provider is located at 3901 CHRYSLER DR TOLAN PARK DETROIT, MI 48201 and the phone number is (313) 993-3434.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
