Lila Elizabeth Massoumi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301079625 Issued in MI

Practice address

30300 Telegraph Rd, Suite 310
Bingham Farms, MI 48025

Phone

(248) 468-1889

Fax

(248) 419-2453

NPI assigned

Jul 9, 2006

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrative Psychiatry Services PC

  dba Michigan Integrative Holistic Psychiatry (MIHP)

  • Psychiatry Physician
  • Bingham Farms, MI
  • NPI 1790078558
  NPD Authorized official
• Lifespan Clinical Serivces

  • Community/Behavioral Health Agency
  • Livonia, MI
  • NPI 1841338217
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1033142476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30300 TELEGRAPH RD, SUITE 310",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-468-1889",
            "fax_number": "248-419-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30300 TELEGRAPH RD, SUITE 310",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-468-1889",
            "fax_number": "248-419-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUMI",
        "first_name": "LILA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301079625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Maslyk, CRNA
• Cheryl Lugean Mason, PH.D
• Jakeia Latrice Mason
• Kara Renee Mason
• Whitney Yakayla Mason
• Leah Matar, MA, BCBA
• Annabelle Renee Mathena
• Suraiya Matin
• Christine H Matoian, MD
• Patrice Matthews

• Psychiatry Physician in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.