UNIVERISTY AFFILIATED NEUROLOGISTS
NPI 1952330474
Nurse Practitioner in Detroit, MI

Active since June 30, 2006
4201 ST. ANTOINE ST, SUITE 8D, DETROIT, MI 48201(313) 745-4275 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Univeristy Affiliated Neurologists NPPES

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

UNIVERISTY AFFILIATED NEUROLOGISTS (NPI 1952330474) is a healthcare organization registered as a nurse practitioner in Detroit, Michigan and active in the NPI registry since June 2006. The organization lists Robert Lisak, Department Chair, as its authorized official.

NPPES Registry Identity

NPI1952330474
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameUNIVERISTY AFFILIATED NEUROLOGISTS
Location Address4201 ST. ANTOINE ST, SUITE 8DDetroit, MI 48201
Mailing Address3800 Woodward Ave., Suite 702Detroit, MI 48201
Organization SubpartNo
Authorized OfficialRobert LisakDepartment Chair · (313) 577-1249
Enumeration DateJune 30, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1952330474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

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 10

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

Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE ST, SUITE 2E
DETROIT, MI 48201
Internal Medicine
4201 ST. ANTOINE ST, DETROIT EDUCATION AND RESEARCH, GRADUATE MEDICAL EDUCAT
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE ST, UHC-9C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE ST, 5E-UHC
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE ST, UHC-5C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE ST, 6F UHC
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE ST, SUITE 9C
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE ST
DETROIT, MI 48201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952330474, enumerated as an "organization" on June 30, 2006.

The provider is located at 4201 ST. ANTOINE ST SUITE 8D DETROIT, MI 48201 and the phone number is (313) 745-4275.

Nurse Practitioner with taxonomy code 363L00000X.