SANKOFA HEALTHCARE SERVICES (NPI# 1134449176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134449176 |
| Entity Type | Organization |
| Organization Name | SANKOFA HEALTHCARE SERVICES |
| Practice Address |
22690 Rougemont Dr Southfield MI 48033-5963 |
| Practice Telephone | 3135748579 |
| Mailing Telephone | 3135748579 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2016-07-29 |
| Authorized Official Name | BENS SANDAIRE (CEO) |
| Authorized Official Telephone | 3135748579 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5101011931 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
22690 ROUGEMONT DR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-5963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| 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 |
|---|---|---|---|---|
| 1083247134 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 28475 Greenfield Rd Ste 113, Southfield, MI 48076-3034 | 2020-02-18 |
| 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 |
| 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 | 48033 |
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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.