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COMMERCE PSYCHIATRIC SERVICES PLC NPI 1134203896


NPI Information

NPI: 1134203896
Provider Name: COMMERCE PSYCHIATRIC SERVICES PLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
55 NORTH POND DRIVE
SUITE 6
WALLED LAKE, MI
ZIP 48390
Phone: (248) 669-1900
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COMMERCE PSYCHIATRIC SERVICES PLC is a psychiatry psychiatry neurology in Walled Lake, MI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. COMMERCE PSYCHIATRIC SERVICES PLC NPI is 1134203896. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 NORTH POND DRIVE
SUITE 6
WALLED LAKE, MI
ZIP 48390
Phone: (248) 669-1900
Fax: (248) 669-1925

The provider's authorized official is Bruce Leland Roth .
The authorized official title is Owner and has the following contact phone number (248) 360-6102.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMICHIGANNo
22084P0800XPsychiatry & NeurologyPsychiatryMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12656300704OTHERBCBS MI
2F29809MEDICARE UPIN
3OM19050MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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