DR. PHILIP ANDREW CORNELL SARAGOZA (NPI# 1730202599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730202599 |
| Entity Type | Individual |
| Full Name | DR. PHILIP ANDREW CORNELL SARAGOZA |
| Credential | M.D. |
| Practice Address |
2395 Oak Valley Dr Ste 100 Ann Arbor MI 48103-9118 |
| Practice Telephone | 7349955181 |
| Practice Fax Number | 7349959011 |
| Mailing Telephone | 7349955181 |
| Mailing Fax Number | 7349959011 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
4301085725 | MI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301085725 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN | 0942132 | 01 |
| Street Address |
2395 OAK VALLEY DR STE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033233838 | Anthony John Wolf | Psychiatry & Neurology | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-8943 | 2007-03-19 |
| 1609490234 | Jordan Harrison | Psychologist | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118 | 2020-05-29 |
| 1467915686 | Oscar M Alcaine | Psychologist | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118 | 2019-04-14 |
| 1720586597 | Chamisa Mackenzie, Lmsw, LLC | Clinic/Center | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118 | 2018-01-26 |
| 1265812762 | Wolf Psychological Services, Pllc | Psychologist | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118 | 2015-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225331234 | Lynn Waldo Blunt Sr. | Psychiatry & Neurology | 2954 Philadelphia Dr, Ann Arbor, MI 48103-6813 | 2010-12-13 |
| 1396965448 | Rita Garg | Psychiatry & Neurology | Center for Forensic Psychiatry, Box2060, Ann Arbor, MI 48106-2060 | 2007-04-30 |
| 1184662454 | Debra Anne Pinals | Psychiatry & Neurology | 4250 Plymouth Road, Ann Arbor, MI 48109-2700 | 2006-06-02 |
| 1427342047 | Dorothy E Gotlib | Psychiatry & Neurology | 1500 East Medical Center Dr, B1 Floor University Hospital Recp Emergency, Ann Arbor, MI 48109-5020 | 2011-05-31 |
| 1659509156 | Brianna Arrington Newhouse | Psychiatry & Neurology | 1500 East Medical Center Drive, B1 Floor University Hospital Recp Emergency, Ann Arbor, MI 48109-5020 | 2009-06-24 |
| 1326198276 | William Cardasis | Psychiatry & Neurology | 202 E Washington St, Ste 208, Ann Arbor, MI 48104-2017 | 2007-01-11 |
| 1952357790 | David Soon Im | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-05-25 |
| 1871586719 | Karla Aurora Blackwood | Psychiatry & Neurology | 1500 E Medical Center Dr, B1 Floor University Hospital Recp Emergency, Ann Arbor, MI 48109-5020 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346689130 | Thomas William Behrmann | Psychiatry & Neurology | 711 Mooreville Rd, Milan, MI 48160-9564 | 2013-06-14 |
| 1376884049 | Steven Alan Myers V | Psychiatry & Neurology | 144 Candee Ln, Marquette, MI 49855-9302 | 2013-03-06 |
| 1154518512 | Kirtida A Patel | Psychiatry & Neurology | 3201 Bemis Road, Huron Valley Complex-men's, Ypsilanti, MI 48197 | 2007-10-01 |
| 1457409088 | Gerald Alan Shiener | Psychiatry & Neurology | 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 | 2007-01-08 |
| 1588726921 | Eleanor M Medina | Psychiatry & Neurology | 60 Balfour Dr, Bloomfield Hills, MI 48304-2100 | 2006-12-14 |
| 1518044585 | Thomas O Osinowo | Psychiatry & Neurology | 730 N Monroe St # 200, Monroe, MI 48162-2972 | 2006-11-01 |
| 1053412361 | Leonard David Mcdermid | Psychiatry & Neurology | 4867 Michigan Trail, Eastport, MI 49627-0267 | 2006-09-26 |
| 1700812765 | Harriette Denice Green | Psychiatry & Neurology | 109 Lawrence St, Detroit, MI 48202-1045 | 2006-06-23 |
| 1770832008 | James E. Dillon | Psychiatry & Neurology | 1000 Houghton Ave, Department of Psychiatry, Saginaw, MI 48602-5303 | 2012-08-31 |
| 1659672699 | Margaret Elizabeth Hudson-collins | Psychiatry & Neurology | 3501 Hamtramck Dr, Detroit, MI 48211-1400 | 2010-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.