NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER – NPI #1467576132
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER is a psychiatry & neurologist located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1467576132 to NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER on March 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER” is a dba name, the actual legal business name for this organization is NORTHWEST NEUROLOGY PC. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 16 years ago on Oct 18, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER below.

NPI Profile for
NORTHWEST NEUROLOGY PC

NPI Number
1467576132
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST NEUROLOGY PC
Doing Business As (dba): NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER
Primary location
27200 LAHSER RD
SUITE 100
SOUTHFIELD, MI 48034-2137
Phone: (248) 208-9215 Fax: (248) 208-9217
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TESSY JENKINS
PRESIDENT
Phone: (248) 208-9215
Updated
Identifiers

Identifiers for NORTHWEST NEUROLOGY AND NEURODIAGNOSTIC CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI4639614
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 MI 4301058568

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.