ACTIFY NEUROTHERAPIES, PLLC (NPI# 1083247134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083247134 |
| Entity Type | Organization |
| Organization Name | ACTIFY NEUROTHERAPIES, PLLC |
| Practice Address |
28475 Greenfield Rd Ste 113 Southfield MI 48076-3034 |
| Mailing Address |
800 Bunn Dr Ste 304 Princeton NJ 08540-1968 |
| Practice Telephone | 8885668774 |
| Mailing Telephone | 8885668774 |
| Mailing Fax Number | 6094147378 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | STEVEN P LEVINE (MANAGING MEMBER) |
| Authorized Official Telephone | 6096514429 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
| 1174156152 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 115 Elm St Ste I, Farmington, MN 55024-1031 | 2020-02-18 |
| Street Address |
28475 GREENFIELD RD STE 113 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736095 | Loving Hearts Home Care | In Home Supportive Care | 28475 Greenfield Rd Ste 113, Southfield, MI 48076-3034 | 2020-06-25 |
| 1487279410 | Wendy Dittrich Croll, Ma, Lpc, LLC | Counselor | 28475 Greenfield Rd Ste 113, Southfield, MI 48076-3034 | 2020-06-16 |
| 1831711142 | Shannon S Wysinger, LLC | Counselor | 28475 Greenfield Rd Ste 113, Southfield, MI 48076-3034 | 2020-05-08 |
| 1629601349 | Brittany Lutren LLC | Social Worker | 28475 Greenfield Rd Ste 113, Southfield, MI 48076-3034 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225487 | Centre Hrw Inc | Psychiatry & Neurology | 23725 Northwestern Hwy, Southfield, MI 48075-3338 | 2015-05-22 |
| 1811287584 | Samreen Shah | Psychiatry & Neurology | Ascension Providence Hospital, 16001 W Nine Mile Road, Southfield, MI 48075 | 2011-04-14 |
| 1134449176 | Sankofa Healthcare Services | Psychiatry & Neurology | 22690 Rougemont Dr, Southfield, MI 48033-5963 | 2010-06-01 |
| 1447461603 | Barbara Kilian, M D | Psychiatry & Neurology | 29260 Franklin Rd Apt 109, Southfield, MI 48034-1144 | 2007-05-26 |
| 1689895518 | Richard Allen Ruzumna | Psychiatry & Neurology | 29260 Franklin, #104, Southfield, MI 48034 | 2007-05-01 |
| 1114062262 | Michael Freedman | Psychiatry & Neurology | 24725 W 12 Mile Rd Ste 310, Southfield, MI 48034-8337 | 2007-02-20 |
| 1174667935 | Romulo S. Ancog Md PC | Psychiatry & Neurology | 15700 W 10 Mile Rd, Suite 107, Southfield, MI 48075-2149 | 2007-02-16 |
| 1275671968 | Northwestern Psychiatry & Counseling Center PC | Psychiatry & Neurology | 26699 W 12 Mile Rd Ste 100, Southfield, MI 48034-1578 | 2007-02-02 |
| 1174674824 | Gloria Pitts | Psychiatry & Neurology | 15659 W 10 Mile Rd, Southfield, MI 48075-2188 | 2007-01-16 |
| 1326133208 | Tariq Abbasi | Psychiatry & Neurology | 29201 Telegraph Road, Suite 550, Southfield, MI 48034 | 2006-10-04 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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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.