Active NPI
Arab American and Chaldean Council
- Psychiatry Physician
- Sterling Heights, MI
National Provider Identifier
1003106253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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 COUNCIL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H28585 | Other | MI | BCBS |
| 3434247 | Medicaid | MI |
Other names 1
- ACC - 7 Mile Site
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Public Health & General Preventive Medicine Physician
- Dearborn, MI
- NPI 1861673543
O20041008000669
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1982706883
O20041008000669
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.
-
- Clinical Social Worker
- Sterling HTS, MI
- NPI 1437160132
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.