DR. SUSHMA GUNTURU (NPI# 1861723215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861723215 |
| Entity Type | Individual |
| Full Name | DR. SUSHMA GUNTURU |
| Credential | MD |
| Practice Address |
4250 Plymouth Rd Ann Arbor MI 48109-2700 |
| Mailing Address |
22843 Summer House Ct Novi MI 48375-4581 |
| Practice Telephone | 7185185250 |
| Mailing Telephone | 5862141403 |
| Mailing Fax Number | 5862649545 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2013-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
4301103402 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4250 PLYMOUTH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205820230 | Bernard Joseph Biermann | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2005-09-06 |
| 1083234108 | Syma Khan | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-04-18 |
| 1003443177 | Lara N Coughlin | Psychologist | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-03-26 |
| 1215561311 | Heather E Dakki | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-02-27 |
| 1942845813 | David Marc Fresco | Psychologist | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-11-14 |
| 1992350482 | Greta Bielaczyc Raglan | Psychologist | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-08-02 |
| 1730648924 | Kathleen Ann Durkin | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-03-18 |
| 1922564681 | Chasity Lynn Jensen | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-02-18 |
| 1134685142 | David James Fulkerson | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2019-02-14 |
| 1780156836 | Michelangelo Trujillo | Social Worker | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2018-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992951693 | Saadia Nosheen | Psychiatry & Neurology | 4250 Plymouth Rd Spc 5766, University of Michigan, Department of Psychiatry, Ann Arbor, MI 48109-2700 | 2008-08-13 |
| 1396760633 | Ellen Smith Grosh | Psychiatry & Neurology | 2020 Hogback Rd Ste 15, Ann Arbor, MI 48105-9752 | 2006-07-13 |
| 1740525765 | Bassem H Krayem | Psychiatry & Neurology | 4250 Plymouth Rd, Rm 1239, Ann Arbor, MI 48109-2700 | 2012-12-03 |
| 1972829174 | Robert Sain | Psychiatry & Neurology | 3300 Washtenaw Ave, Suite 275, Ann Arbor, MI 48104-4200 | 2010-04-13 |
| 1376799403 | Sneha Sastry | Psychiatry & Neurology | 2750 S State St, Ann Arbor, MI 48104-6179 | 2008-08-08 |
| 1285744359 | Harvey H. Falit, M.d., P.C. | Psychiatry & Neurology | 505 E Huron St, Suite # 305 A, Ann Arbor, MI 48104-1573 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316376056 | Esmaeil Emami | Psychiatry & Neurology | 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 | 2013-11-04 |
| 1154760312 | Samantha Fugate Kennedy | Psychiatry & Neurology | 909 Fee Rd Ste B119, East Lansing, MI 48824 | 2013-06-21 |
| 1407199961 | David Donald Krohn | Psychiatry & Neurology | 563 Highland Park Dr, Traverse City, MI 49686-2863 | 2013-04-03 |
| 1164712055 | Tatjana Maric | Psychiatry & Neurology | 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 | 2011-04-12 |
| 1972893824 | Katherine Barbara Krive | Psychiatry & Neurology | 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 | 2011-04-12 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1295056653 | Veronica Yap Tan | Psychiatry & Neurology | 23354 Portage Way, Apt. 2212, Novi, MI 48375 | 2010-06-18 |
| 1548588874 | Katie Alanna Keller | Psychiatry & Neurology | 79 Alexandrine West, Detroit, MI 48201 | 2010-05-11 |
| 1538390133 | Behavioral Health Associates Pllc | Psychiatry & Neurology | 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 | 2009-07-30 |
| 1235375775 | Kristine Baker | Psychiatry & Neurology | 721 Cherokee St, Traverse City, MI 49684-1401 | 2009-01-06 |
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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.