CENTER FOR INDIVIDUALIZED MEDICINE PLLC
CENTER FOR INDIVIDUALIZED MEDICINE PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1760814289, based in Wyandotte, MI. It is classified under Child & Adolescent Psychiatry Physician.
Getting there
The practice address on file is 1404 BIDDLE AVE, Wyandotte, MI 48192. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4301046425 | MI | Child & Adolescent Psychiatry Physician primary |
This provider holds licence 4301046425 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Child & Adolescent Psychiatry covers
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NUCC Health Care Provider Taxonomy, code 2084P0804X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1760814289 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 7, 2013 |
| Last updated | Aug 7, 2013 |
| Status | Active |
| Practice address |
1404 BIDDLE AVE Wyandotte, MI 48192 (734) 624-8000 Fax (734) 326-1443 |
| Mailing address |
PO BOX 251921 West Bloomfield, MI 48325 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 6 | 0 | 8 | 1 | 4 | 2 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 3 | 0 | 7 | 1 | 8 | 2 | 7 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.