THE SPORTS NEUROLOGY CLINIC – NPI #1275043853
Psychiatry & Neurology
A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.
THE SPORTS NEUROLOGY CLINIC is a psychiatry & neurologist located in BRIGHTON, MI. NPPES has assigned the NPI number 1275043853 to THE SPORTS NEUROLOGY CLINIC on October 09, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE SPORTS NEUROLOGY CLINIC” is a dba name, the actual legal business name for this organization is SPORTS NEUROLOGY CLINIC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084S0010X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Sports Medicine
The NPI profile was previously updated about 9 years ago on Dec 05, 2017. 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 THE SPORTS NEUROLOGY CLINIC below.
NPI Profile for
SPORTS NEUROLOGY CLINIC
(more than 8 years ago)
BRIGHTON, MI 48114-9346 Phone: (734) 223-4581 Fax:
NATIONAL DIRECTOR
Phone: (734) 223-4581
Identifiers for THE SPORTS NEUROLOGY CLINIC
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.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | ARIZONA MEDICAL BOARD | AZ | 51983 |
| OTHER | FLORIDA DEPARTMENT OF HEALTH | FL | ME131286 |
| OTHER | LOUISIANA STATE BOARD OF MEDICAL EXAMINERS | LA | MD.203771 |
| OTHER | STATE OF MICHIGAN BOARD OF MEDICINE | MI | 4301073973 |
| OTHER | STATE OF UTAH BOARD OF MEDICINE | UT | 8919590-1205 |
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 |
|---|---|---|
| 2084S0010X - Psychiatry & Neurology / Sports Medicine (Primary) |
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| 2084N0402X - Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology |
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| 2084N0400X - Psychiatry & Neurology / Neurology |
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.