Motor City Medical Group PLLC
Psychiatry & Neurology, Psychiatry in Detroit, MI. Organization (NPI-2).
NPI number1689239683
StatusActive
Last updated in NPPESJan 5, 2024
Details
- NPI
- 1689239683
- Entity type
- Organization (NPI-2)
- Legal business name
- Motor City Medical Group PLLC
- Organization subpart
- No
- Enumeration date
- May 6, 2019
- Certification date
- Jan 5, 2024
- Last updated
- Jan 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Motor City Tms (Doing Business As)
Practice location
1300 BroadwaySuite 400
Detroit, MI 48226
Phone 313-680-3799
Mailing address
1300 BroadwaySuite 400
Detroit, MI 48226
Phone 586-335-2006 · Fax 586-279-3886
Authorized official
Robert Lagrou
Medical Director
2487031869
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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