Geriatric Psychiatric Services PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GERIATRIC PSYCHIATRIC SERVICES PLLC

Practice address

28800 Ryan Rd
Suite 320
Warren, MI 48092-4272

Phone

(586) 620-8100

Fax

(866) 227-7418

NPI assigned

Jan 12, 2009

Organization subpart

Yes

Parent organization

GERIATRIC PSYCHIATRIC SERVICESAs reported in NPPES

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

Authorized official

Name

Robert A Clemente

Title

Manager

Phone

(586) 620-8100

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Nurse Practitioner Group Other name

Part of

Geriatric Psychiatric PLLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Care Solutions, SC

  • Geriatric Psychiatry Physician
  • Westchester, IL
  • NPI 1447550603

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Geriatric Psychiatric Services

  • Psychiatry Physician
  • Troy, MI
  • NPI 1467773408
  NPPES parent name

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1104063239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39465 W 14 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771600",
            "telephone_number": "248-859-3900",
            "fax_number": "888-483-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 RYAN RD",
            "address_2": "SUITE 320",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924272",
            "telephone_number": "586-620-8100",
            "fax_number": "866-227-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GERIATRIC PSYCHIATRIC SERVICES",
        "enumeration_date": "2009-01-12",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-620-8100"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN NUMBER",
            "identifier": "500F339520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Practitioner Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Prakash Satya-Murthy Gera, R.PH
• Gerald F Daneshvar MD PLLC
• Richard Gerber, MD
• Kirolos Gergis, MD
• Geriatric Associates of Michigan, PLLC
• Geriatric Psychiatric Services PLLC
• Geriatric Psychiatric Services PLLC
• Gesher Human Services
• Ghaith M Ibrahim MD PC
• Maureen Bishay Ghattas, DMD

• Nurse Practitioner in Warren, MI
• Providers in Warren, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.