LINCOLN BEHAVIORAL SERVICES (NPI# 1669451944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669451944 |
| Entity Type | Organization |
| Organization Name | LINCOLN BEHAVIORAL SERVICES |
| Practice Address |
9315 Telegraph Rd Redford MI 48239 |
| Practice Telephone | 3134504500 |
| Practice Fax Number | 3134504514 |
| Mailing Telephone | 3134504500 |
| Mailing Fax Number | 3134504514 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | THERESA KORROCH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3134504500 |
| Authorized Official Credential | MS, LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306064050 | Lincoln Behavioral Services | Point of Service | 11677 Beech Daly Rd, Redford, MI 48239-2427 | 2007-04-20 |
| 1356987762 | Lincoln Behavioral Services | Family Medicine | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-11-20 |
| 1447807771 | Lincoln Behavioral Services | Clinic/Center | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-08-21 |
| 1467937870 | Lincoln Behavioral Services | Case Management | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2018-10-02 |
| 1619399789 | Lincoln Behavioral Services | Case Management | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2014-01-09 |
| 1225473697 | Lincoln Behavioral Services | Community/Behavioral Health | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2013-04-30 |
| 1659592608 | Lincoln Behavioral Services | Community/Behavioral Health | 11677 Beech Daly Rd, Redford, MI 48239-2427 | 2007-05-01 |
| Street Address |
9315 TELEGRAPH RD |
| City | REDFORD |
| State | MI |
| Zip Code | 48239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941454 | Angelica Debono | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-10-28 |
| 1477182574 | Christie Johnson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-04-02 |
| 1043846116 | Breanne Johnson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-03-20 |
| 1407488729 | Zeinab M Dabajeh | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2020-02-05 |
| 1356987762 | Lincoln Behavioral Services | Family Medicine | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-11-20 |
| 1952945826 | Daniel Evan Diskin | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-11-04 |
| 1124669775 | Sara Kifah Jayyousi | Peer Specialist | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-10-04 |
| 1275174062 | Kelsey Vest | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-10-02 |
| 1508415753 | Jennifer Pettway | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-09-10 |
| 1205484540 | Jessica Nicole Mayfield | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
| 1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
| 1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
| 1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
| 1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
| 1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
| 1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
| 1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
| 1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
| 1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
| Find all providers in zip 48239 | ||||
| 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 |
|---|---|---|---|---|
| 1790955219 | Shabana Najmi Ahmed | Psychiatry & Neurology | 9315 Telegraph Road, Lincoln Behavioral Services, Redford, MI 48239 | 2008-03-12 |
| 1336284504 | Hyun Shin | Psychiatry & Neurology | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2007-02-21 |
| 1114086857 | Mohamed Siddique | Psychiatry & Neurology | 9315 Telegraph, Redford, MI 48239 | 2006-12-08 |
| 1831298397 | Lisa Renee Haston-fuller | Psychiatry & Neurology | 9315 Telegraph Rd, Redford, MI 48239 | 2006-09-21 |
| 1225049125 | Sushila Aggarwal | Psychiatry & Neurology | 9315 Telegraph, Redford, MI 48239 | 2006-08-10 |
| 1396755658 | Rokeya Muhaimeen | Psychiatry & Neurology | 9315 Telegraph, Redford, MI 48239 | 2006-08-09 |
| 1770593766 | Abdul Hafeez | Psychiatry & Neurology | 9315 Telegraph, Redford, MI 48239 | 2006-08-09 |
| 1083624134 | Ismath Khan | Psychiatry & Neurology | 9315 Telegraph, Redford, MI 48239 | 2006-08-09 |
| 1740216134 | Prasad G Sripada | Psychiatry & Neurology | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2006-06-25 |
| 1750327573 | Asha Jain | Psychiatry & Neurology | 9315 Telegraph Rd, Redford, MI 48239 | 2006-06-21 |
| Find all providers in REDFORD | ||||
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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.