SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC (NPI# 1114219227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114219227 |
| Entity Type | Organization |
| Organization Name | SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC |
| Other Organization Name | KALAMAZOO TMS & BEHAVIORAL HEALTH |
| Practice Address |
5390 Lovers Ln Third Floor Portage MI 49002 |
| Mailing Address |
5930 Lovers Ln Third Floor Portage MI 49002-1673 |
| Practice Telephone | 2693816950 |
| Practice Fax Number | 2693816954 |
| Mailing Telephone | 2693816950 |
| Mailing Fax Number | 2693816954 |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2016-02-16 |
| Authorized Official Name | RUQIYA TAREEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2693816950 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301078095 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kalamazoo TMS & Behavioral Health | Doing Business As Name - Organization |
| Street Address |
5390 LOVERS LN THIRD FLOOR |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| 1992022503 | Paul Maxwell Brinkley | Counselor | 1398 Palmetto Dr., Portage, MI 49002 | 2010-04-23 |
| Find all providers in zip 49002 | ||||
| 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 |
|---|---|---|---|---|
| 1518585462 | Tracy Lynn Genovese | Psychiatry & Neurology | 2718 Laguardia St, Portage, IN 46368-3139 | 2020-07-08 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| 1639330624 | Kevin Anthony Kunzer | Psychiatry & Neurology | 1350 W Centre Ave Ste 110, Portage, MI 49024-5361 | 2008-06-23 |
| 1205103793 | Belal Hegazy | Psychiatry & Neurology | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2011-11-28 |
| 1437352689 | Niaz Mohammad | Psychiatry & Neurology | 7895 Currier Dr, Portage, MI 49002-4314 | 2007-06-06 |
| 1255436705 | Mario Rl Valenzuela | Psychiatry & Neurology | 2901 Hunters Trl, Portage, WI 53901-3403 | 2006-09-13 |
| 1063526580 | Tammy Ann Pierner | Psychiatry & Neurology | 2901 Hunters Trl, Portage, WI 53901-3403 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686165 | Centia Health LLC | Psychiatry & Neurology | 23802 Wintergreen Cir, Novi, MI 48374-3681 | 2020-10-16 |
| 1114524428 | Clarity Behavioral Health Pllc | Psychiatry & Neurology | 7154 Merrybrook, West Bloomfield, MI 48322-4066 | 2020-10-08 |
| 1790395978 | Amiri Psychiatric Services Pllc | Psychiatry & Neurology | 1695 W Saratoga St, Ferndale, MI 48220-3153 | 2020-08-03 |
| 1881211191 | Infinite Wellness Healthcare, Pllc | Psychiatry & Neurology | 19855 Outer Dr Ste 504e, Dearborn, MI 48124-2040 | 2020-07-02 |
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1083247134 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 28475 Greenfield Rd Ste 113, Southfield, MI 48076-3034 | 2020-02-18 |
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1922646538 | Sylvia Hanson Md Pllc | Psychiatry & Neurology | 6461 Golden Ln, West Bloomfield, MI 48322-3096 | 2019-12-13 |
| 1740823129 | Tms Wellness Clinic of Michigan Pllc | Psychiatry & Neurology | 5757 W Maple Rd Ste 800-b, West Bloomfield, MI 48322-2277 | 2019-10-18 |
| 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.