SENIOR PSYCHIATRIC SERVICES OF MI (NPI# 1609299692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609299692 |
| Entity Type | Organization |
| Organization Name | SENIOR PSYCHIATRIC SERVICES OF MI |
| Practice Address |
38807 Ann Arbor Rd Ste. 7 Livonia MI 48150-3896 |
| Practice Telephone | 7349536734 |
| Practice Fax Number | 8886002523 |
| Mailing Telephone | 7349536734 |
| Mailing Fax Number | 8886002523 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |
| Authorized Official Name | MR. MARK L CESMAT (OFFICE MANANGER) |
| Authorized Official Telephone | 7349536734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
5101010751 | MI | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SENIOR PSYCHIATRIC SERVICES OF MI, PLLC | 38807 Ann Arbor Rd Ste 7, Livonia, MI 48150-3896 |
| Street Address |
38807 ANN ARBOR RD STE. 7 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-3896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154343465 | Debra Marie Koelzer | Physician Assistant | 38807 Ann Arbor Rd, Ste 7, Livonia, MI 48150 | 2006-07-24 |
| 1477021079 | Christina Joy Griffin | Nurse Practitioner | 38807 Ann Arbor Rd, Livonia, MI 48150-3896 | 2018-11-13 |
| 1962914515 | Jocelyn Lee Simpson | Massage Therapist | 38807 Ann Arbor Rd, Livonia, MI 48150-3896 | 2017-11-03 |
| 1154866960 | Anita Thompson | Behavior Technician | 38807 Ann Arbor Rd, 3, Livonia, MI 48150-3896 | 2017-01-03 |
| 1922541002 | Lauren Irene Kenny | Behavior Technician | 38807 Ann Arbor Rd, Suite 3, Livonia, MI 48150-3896 | 2016-11-22 |
| 1326581539 | Cindi Lonick | Behavior Technician | 38807 Ann Arbor Rd, Livonia, MI 48150-3896 | 2016-11-21 |
| 1336695352 | Alyssa Perkins | Behavior Technician | 38807 Ann Arbor Rd, 3, Livonia, MI 48150-3896 | 2016-08-30 |
| 1821544834 | Jenay Williams Walker | Behavior Technician | 38807 Ann Arbor Rd, 3, Livonia, MI 48150-3896 | 2016-08-30 |
| 1942653399 | Lateefah Wooten | Behavior Technician | 38807 Ann Arbor Rd, Unit 3, Livonia, MI 48150-3896 | 2016-07-21 |
| 1033562624 | Diane M Drouillard | Psychologist | 38807 Ann Arbor Rd, Ste 9, Livonia, MI 48150-3896 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| 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 |
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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.