Center for Brain Diseases PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CENTER FOR BRAIN DISEASES PLLC

Practice address

1 Heritage Dr
Suite# 440
Southgate, MI 48195-3094

Phone

(313) 571-1200

Fax

(313) 922-8188

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Abdul Aleem Khan, MD

Title

Owner

Phone

(313) 571-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1073698312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HERITAGE DR",
            "address_2": "SUITE# 440",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953094",
            "telephone_number": "313-571-1200",
            "fax_number": "313-922-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HERITAGE DR",
            "address_2": "SUITE# 440",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953094",
            "telephone_number": "313-571-1200",
            "fax_number": "313-922-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BRAIN DISEASES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "ALEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-571-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Castleman Surgery Center, LLC
• Joseph Aaron Catania
• Amanda Cauchi
• Shauna Caudill
• Awa Ceesay
• Centria Healthcare LLC
• Arly Michelle Cervantes-Alvarez
• Alysondra Cesar
• Angela Chacon
• Alexander Chadwick

• Psychiatry Physician in Southgate, MI
• Providers in Southgate, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.