Individual provider Active NPI

Daniel Devries

  • Psychiatry Physician
  • Sterling Heights, MI
National Provider Identifier
1073558029
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301049549 Issued in MI
Practice address
33200 Dequindre Rd Ste 100
Sterling Heights, MI 48310-5967
Phone
(586) 354-1489
Fax
(586) 803-4289
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301049549 MI Primary

Addresses

Primary practice location

33200 Dequindre Rd Ste 100
Sterling Heights, MI 48310-5967

Mailing address

26811 Ryan Rd
Warren, MI 48091-4075
Phone (586) 755-4433

Other practice location 1

2311 15 Mile Rd Ste A
Sterling Heights, MI 48310-4842
Phone (586) 983-9280

Other practice location 2

26811 Ryan Rd
Warren, MI 48091-4075
Phone (586) 755-4433

Other identifiers 1

IdentifierTypeStateIssuer
1366905408MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000155 MI Practitioner - Psychiatry 8426130410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care and Transformation CenterGroup PAC ID 7214249424, 3 clinicians

Practice addresses (Care Compare)

2311 15 Mile Rd
Suite a
Sterling Heights, MI 48310-4842
Phone (586) 983-9280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Professional Psychological Consultants Psychiatry CurrentSince Feb 1, 2014 Accepting new patients
Care and Transformation Center CurrentSince Feb 20, 2017 Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients

Locations

5031 Park Lake Rd
East Lansing, MI 48823
Phone (517) 332-0811

2311 15 Mile Rd
Ste A1
Sterling Heights, MI 48310
Phone (586) 354-1489

2311 15 Mile Rd
Ste A
Sterling Hts, MI 48310
Phone (586) 795-1390

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1073558029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26811 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914075",
            "telephone_number": "586-755-4433",
            "fax_number": "586-755-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "586-354-1489",
            "fax_number": "586-803-4289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 15 Mile Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104842",
            "country_code": "US",
            "telephone_number": "586-983-9280",
            "fax_number": "586-275-0612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26811 Ryan Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480914075",
            "country_code": "US",
            "telephone_number": "586-755-4433",
            "fax_number": "586-755-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301049549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366905408",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.