Wayne State University Physician Group
Counselor Clinic
16836 Newburgh Rd, Livonia
Michigan, 48154-1600
734-464-4220 734-464-5885
Maps & DirectionsWayne State University Physician Group is a Counselor Clinic in Livonia, Michigan. It is located at 16836 Newburgh Rd, Livonia, MI and its contact number is 734-464-4220. The authorized person for Wayne State University Physician Group is Mr. Jeffery P Kohlitz
who is Chief Financial Officer of the clinic and his/her contact number is 248-581-5930.
Wayne State University Physician Group Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Wayne State University Physician Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Wayne State University Physician Group |
| Specialization: | Counselor |
| Clinic Address: | 16836 Newburgh Rd, Livonia,
Michigan, 48154-1600 |
| Phone: | 734-464-4220 |
| Fax: | 734-464-5885 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jeffery P Kohlitz |
| Position: | Chief Financial Officer |
| Contact Number: | 248-581-5930 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Wayne State University Physician Group clinic are as mentioned below.
| NPI Number: | 1356556575 |
| NPI Enumeration Date: | 11 May, 2007 |
| NPI Last Update On: | 26 Oct, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wayne State University Physician Group are as mentioned below.
| Specialization | License Number | State | Status | |
| Counselor | | | Primary | |
| Clinical Neuropsychologist | | | Secondary | |
| Psychologist | | | Secondary | |
| Social Worker | | | Secondary | |
| Marriage & Family Therapist | | | Secondary | |
| Psychiatry | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0P30630 | Other | Michigan | Medicare Group # - Md/do |
| 0P32120 | Other | Michigan | Medicare Group # - Md/do Fee Locality 99 |
| 0H22830 | Other | Michigan | Bcbsm Group # - Np |
| 0H22832 | Other | Michigan | Bcbsm Group # - Md/do |
| 0H22872 | Other | Michigan | Bcbsm Group # - Social Worker |
| 0P32060 | Other | Michigan | Medicare Group # - Psychologist/neuropsychologist |
| 0P32050 | Other | Michigan | Medicare Group # - Social Worker |
| 0H22874 | Other | Michigan | Bcbsm Group # - Psychologist/neuropsychologist |
| 0P32180 | Other | Michigan | Medicare Group # - Np |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Wayne State University Physician Group
1560 E Maple Rd, Ste 400-credentialing Dept.
Troy, Michigan |
| Zip: | 48083-1138 |
| Phone Number: | 248-581-5973 |
| Fax Number: | 248-581-5640 |
Patients can reach Wayne State University Physician Group at
16836 Newburgh Rd, Livonia, Michigan or can
call to book an appointment on 734-464-4220.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.