Conscious Mind Psychiatry of Michigan

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CONSCIOUS MIND PSYCHIATRY OF MICHIGAN

Doing business as

Conscious Mind Psychiatry

Practice address

13938 Middle Gibraltar Rd
Gibraltar, MI 48173-9711

Phone

(313) 484-3211

NPI assigned

Sep 29, 2025

Last updated

Sep 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Buckner, DO

Title

Owner

Phone

(313) 484-3211

Specialties & licenses 2

Addresses

Other names 1

• Conscious Mind Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Robert Blanton, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Gibraltar, MI
  • NPI 1760142699
  Medicare reassignment NPD
• Alexis Kupovits Cavins, LMSW

  • Clinical Social Worker
  • Temperance, MI
  • NPI 1104428408
  Medicare reassignment NPD
• Jennifer Lyn Johnson, MS LLP

  • Psychologist
  • Gibraltar, MI
  • NPI 1407290711
  Medicare reassignment NPD
• Chelsea McCreary, NP

  • Nurse Practitioner
  • Woodhaven, MI
  • NPI 1518708874

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Nicole Stepp

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
  • NPI 1134094113

  Single Specialty

  NPD

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1053284737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8778 THORNTREE DR",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13938 MIDDLE GIBRALTAR RD",
            "city": "GIBRALTAR",
            "state": "MI",
            "postal_code": "481739711",
            "telephone_number": "313-484-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS MIND PSYCHIATRY OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-28",
        "status": "A",
        "authorized_official_last_name": "BUCKNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-484-3211",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conscious Mind Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Robert Blanton, FNP-C
• Brooke Meade Bonham, PHARM D
• Douglas Booker, RPH
• William Cain
• City of Gibraltar (Gibraltar PSD)
• Tim Charles Desano
• Gibraltar Pharmacy Inc (Gibraltar Sav-Mor Pharmacy #16)
• Donovan Matthew Haddix, RPH
• Warren Michael Horbal, D.D.S.
• Jennifer Lyn Johnson, MS LLP

• Psychiatric/Mental Health Nurse Practitioner in Gibraltar, MI
• Providers in Gibraltar, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.