GERIATRIC PSYCHIATRIC SERVICES PLLC (NPI# 1144467275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144467275 |
| Entity Type | Organization |
| Organization Name | GERIATRIC PSYCHIATRIC SERVICES PLLC |
| Other Organization Name | PHD GROUP |
| Practice Address |
28800 Ryan Rd Suite 320 Warren MI 48092-4272 |
| Practice Telephone | 5866208100 |
| Practice Fax Number | 8662277418 |
| Mailing Telephone | 5866208100 |
| Mailing Fax Number | 8662277418 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | ROBERT A CLEMENTE (MANAGER) |
| Authorized Official Telephone | 5866208100 |
| Is Organization Subpart | Y |
| Parent Organization Name | GERIATRIC PSYCHIATRIC SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN NUMBER | 680F338910 | 01 |
| Other Name | Type Code |
|---|---|
| PhD Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235465659 | Geriatric Psychiatric Services Pllc | Psychologist | 2024 Adderbury Ln, Madison, WI 53711-4002 | 2009-10-20 |
| 1124273826 | Geriatric Psychiatric Services Pllc | Psychiatry & Neurology | 1 Westbrook Corp Ctr, Suite 300, Westchester, IL 60154-5701 | 2008-11-21 |
| 1467492173 | Geriatric Psychiatric Services Pllc | Psychologist | 1715 Indian Wood Cir Ste 200, Maumee, OH 43537-4055 | 2006-06-08 |
| 1306172788 | Geriatric Psychiatric Services Pllc | Nursing Facility/Intermediate Care Facility | 445 S County Road 525 E, Avon, IN 46123-8361 | 2009-10-20 |
| 1891935144 | Geriatric Psychiatric Services Pllc | Nurse Practitioner | 9465 Counselors Row, Suite 200, Indianapolis, IN 46240-6423 | 2009-02-26 |
| 1528208873 | Geriatric Psychiatric Services Pllc | Social Worker | 1721 Moon Lake Blvd, Hoffman Estates, IL 60169-1069 | 2009-02-26 |
| 1073753323 | Geriatric Psychiatric Services Pllc | Psychologist | 9465 Counselors Row, Suite 200, Indianapolis, IN 46240-6423 | 2009-02-26 |
| 1881834125 | Geriatric Psychiatric Services Pllc | Psychiatry & Neurology | 9465 Counselors Row, Suite 200, Indianapolis, IN 46240-6423 | 2009-02-26 |
| 1801035902 | Geriatric Psychiatric Services Pllc | Psychiatry & Neurology | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2009-02-12 |
| 1538308630 | Geriatric Psychiatric Services Pllc | Psychologist | 1 Westbrook Corporate Ctr, Suite 300, Westchester, IL 60154-5701 | 2009-02-12 |
| Street Address |
28800 RYAN RD SUITE 320 |
| City | WARREN |
| State | MI |
| Zip Code | 48092-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967815 | Gary G Gilyard | Orthopaedic Surgery | 28800 Ryan Rd, Suite 280, Warren, MI 48092-4272 | 2006-01-17 |
| 1982055943 | Melissa Wummel | Social Worker | 28800 Ryan Rd, Ste 320, Warren, MI 48092-4272 | 2016-06-30 |
| 1477920510 | Yasmin Keshavjee | Family Medicine | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2015-08-24 |
| 1033502224 | Neurocognitive Center of Michigan Group | Psychologist | 28800 Ryan Rd, Suite 300, Warren, MI 48092-4272 | 2015-03-11 |
| 1801207907 | Kathryn Aurand | Physician Assistant | 28800 Ryan Rd, Suite 280, Warren, MI 48092-4272 | 2014-05-12 |
| 1952721862 | Samantha Reichling | Specialist | 28800 Ryan Rd, Warren, MI 48092-4272 | 2014-04-17 |
| 1700204328 | Neurocognitive Center of Michigan Inc. | Psychologist | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2014-04-01 |
| 1487081782 | Sara Louise Blomeling-deroo | Social Worker | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2013-10-01 |
| 1275872376 | Dima Sprague | Physician Assistant | 28800 Ryan Rd, Warren, MI 48092-4272 | 2013-02-08 |
| 1568712370 | Behavioral Infermiera Care Solutions Inc | Psychologist | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2012-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061879 | Katrine Kirk | Psychologist | 334 Roxbury Mountain Road, Warren, VT 05674 | 2020-07-31 |
| 1578184131 | Transcend Psychological Services, P.l.l.c | Psychologist | 28767 Ryan Rd, Warren, MI 48092-2518 | 2020-05-05 |
| 1245733195 | Martha A Torres | Psychologist | 112 Town Center Dr, Warren, NJ 07059-2650 | 2018-03-16 |
| 1366805368 | Adam Cole Lorincz | Psychologist | 28871 Aline Dr, Warren, MI 48093-2690 | 2016-03-29 |
| 1992168983 | Ascension Eastwood Behavioral Health | Psychologist | 11270 E 13 Mile Rd Ste 2, Warren, MI 48093-2599 | 2016-03-29 |
| 1427365964 | Beatrice Schwarzkopf | Psychologist | 100 Old Stirling Rd, Warren, NJ 07059-5819 | 2010-09-03 |
| 1205160934 | Gerald E Poirier | Psychologist | 11022 Sunburst Ave, Warren, MI 48089-1040 | 2009-09-29 |
| 1427294255 | Tammy Dorraine Hays | Psychologist | 590 County Road 4810, Warren, TX 77664-6494 | 2008-12-29 |
| 1538351051 | Kenneth Axelrad | Psychologist | 27472 Schoenherr Rd Ste 105, Warren, MI 48088-6687 | 2007-08-17 |
| 1770797086 | Ronald Raymond Zelazowski | Psychologist | 315 Second Avenue, Ste 209, Warren, PA 16365-2434 | 2007-05-09 |
| Find all providers in WARREN | ||||
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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.