GERIATRIC PSYCHIATRIC SERVICES PLLC (NPI# 1801035902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801035902 |
| Entity Type | Organization |
| Organization Name | GERIATRIC PSYCHIATRIC SERVICES PLLC |
| Other Organization Name | GERIATRIC PSYCHIATRIC SERVICES IN MD GROUP |
| Practice Address |
363 W Big Beaver Rd Suite 200 Troy MI 48084-5220 |
| Mailing Address |
30781 Stephenson Hwy Madison Hts MI 48071-1618 |
| Practice Telephone | 2485974515 |
| Practice Fax Number | 2485974533 |
| Mailing Telephone | 2485838922 |
| Mailing Fax Number | 2485838969 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | ROBERT CLEMENTE (MANAGER) |
| Authorized Official Telephone | 2486199771 |
| Is Organization Subpart | Y |
| Parent Organization Name | GERIATRIC PSYCHIATRIC SERVICES PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Geriatric Psychiatric Services IN MD 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 |
| 1538308630 | Geriatric Psychiatric Services Pllc | Psychologist | 1 Westbrook Corporate Ctr, Suite 300, Westchester, IL 60154-5701 | 2009-02-12 |
| 1730328832 | Geriatric Psychiatric Services Pllc | Nurse Practitioner | 1 Westbrook Corporate Ctr, Suite 300, Westchester, IL 60154-5701 | 2009-02-12 |
| Street Address |
363 W BIG BEAVER RD SUITE 200 |
| City | TROY |
| State | MI |
| Zip Code | 48084-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710019955 | Ram Gunabalan | Internal Medicine | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2007-03-12 |
| 1952761033 | Little People Urgent Care Plc | Clinic/Center | 363 W Big Beaver Rd, Suite 126, Troy, MI 48084-5220 | 2016-03-02 |
| 1730582776 | Fastbraces of Troy, LLC | Dentist | 363 W Big Beaver Rd, Ste. 225, Troy, MI 48084-5220 | 2014-10-06 |
| 1790050714 | R & R Transportation LLC | Non-emergency Medical Transport (VAN) | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2012-03-09 |
| 1073827689 | Mi Physicians Pllc | Hospitalist | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2010-08-06 |
| 1467773408 | Geriatric Psychiatric Services | Psychologist | 363 W Big Beaver Rd, Troy, MI 48084-5220 | 2010-06-14 |
| 1528217981 | Mri Consultants LLC | Radiology | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2008-09-10 |
| 1538353776 | Madison Medical Center PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2007-08-30 |
| 1700076726 | Paul Petre Md PC | General Practice | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2007-07-26 |
| 1073732178 | Madison Medical Center PC | General Practice | 363 W Big Beaver Rd, Suite 200, Troy, MI 48084-5220 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598007007 | Maria Il-cha Choe | Psychiatry & Neurology | 3656 Creekside Dr, Ann Arbor, MI 48105-9308 | 2013-03-22 |
| 1154682656 | Geropsych-at-home | Psychiatry & Neurology | 1267 Lone Pine Rd, Bloomfield Hills, MI 48302-2820 | 2012-06-01 |
| 1306143235 | Geropsych Group LLC | Psychiatry & Neurology | 32270 Telegraph Rd Ste 240, Bingham Farms, MI 48025-2457 | 2011-02-11 |
| 1891025870 | Commerce Township Psychiatry,pllc | Psychiatry & Neurology | 6021 Carroll Lake Rd, Commerce Township, MI 48382-3136 | 2010-01-13 |
| 1215158472 | Stephen Michael Aronson | Psychiatry & Neurology | 2020 Hogback Officenter, Ann Arbor, MI 48105 | 2007-05-02 |
| 1841315231 | Soon Kuyn Kim | Psychiatry & Neurology | 29433 Southfield Rd, Suite 201, Southfield, MI 48076-2031 | 2007-03-21 |
| 1114092939 | Paul J Sorgi | Psychiatry & Neurology | 616 Petoskey St Ste 110, Petoskey, MI 49770-2779 | 2006-11-21 |
| 1578580411 | Fernando Castro-urrutia | Psychiatry & Neurology | 259 E Chicago St, Coldwater, MI 49036-2046 | 2006-07-16 |
| 1336188101 | Rd Senior Care Services PC | Psychiatry & Neurology | 1157 Union Lake Rd, White Lake, MI 48386-4348 | 2006-06-06 |
| 1306224621 | Sarah Myer | Psychiatry & Neurology | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2015-05-07 |
| 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.