Organization Active NPI

Arab American and Chaldean Council

  • Psychiatry Physician
  • Sterling Heights, MI
National Provider Identifier
1003106253
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ARAB AMERICAN AND CHALDEAN COUNCIL
Practice address
34628 Dequindre Rd
Sterling Heights, MI 48310-5233
Phone
(586) 939-5016
Fax
(586) 593-5194
NPI assigned
Apr 8, 2011
Organization subpart
Yes
Parent organization
ARAB AMERICAN AND CHALDEAN COUNCILAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carmen Sarafa, MA, LPC
Title
Director
Phone
(313) 893-6172

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X MI

Addresses

Primary practice location

34628 Dequindre Rd
Sterling Heights, MI 48310-5233

Mailing address

62 W 7 Mile Rd
Detroit, MI 48203-1967
Phone (313) 893-6172

Other identifiers 2

IdentifierTypeStateIssuer
0H28585OtherMIBCBS
3434247MedicaidMI

Other names 1

  • ACC - 7 Mile Site Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.acc@direct.mihin.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000669 MI Part B Supplier - Clinic/Group Practice 2365401874 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dearborn, MI; Detroit, MI; Sterling Heights, MI; Troy, MI

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Acc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1003106253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031967",
            "telephone_number": "313-893-6172",
            "fax_number": "313-893-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34628 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105233",
            "telephone_number": "586-939-5016",
            "fax_number": "586-593-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARAB AMERICAN AND CHALDEAN COUNCIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARAB AMERICAN AND CHALDEAN COUNCIL",
        "enumeration_date": "2011-04-08",
        "last_updated": "2021-09-02",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "SARAFA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-893-6172",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0H28585",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.acc@direct.mihin.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34628 Dequindre Rd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483105233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ACC - 7 Mile Site",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACC - 7 Mile Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.