Sankofa Healthcare Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5101011931 Issued in MI

Legal business name

SANKOFA HEALTHCARE SERVICES

Practice address

22690 Rougemont Dr
Southfield, MI 48033-5963

Phone

(313) 574-8579

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Bens Sandaire, DO

Title

Ceo

Phone

(313) 574-8579

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan David Bryant, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
  • NPI 1558105726
  NPD (past)
• Someswara N Navuluri, MD

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1669419156
  NPD (past)

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1134449176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22690 ROUGEMONT DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335963",
            "telephone_number": "313-574-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22690 ROUGEMONT DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335963",
            "telephone_number": "313-574-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "SANDAIRE",
        "authorized_official_first_name": "BENS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-574-8579",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101011931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Ellis MD PLLC
• Sandra L. Ellis, MD, PLLC
• Sandra S Lerner DO PLLC
• Margaret Sands-Goldstein
• Sangeeta Grewal
• Shanthiya Sanmugathas, M.D.
• Sajida M Saqer
• Sarada Gullapalli, M.D.,PLLC
• Sarah R. Williams, LMSW, PLLC
• Bryce Kumar Sarcar, DO

• Psychiatry Physician in Southfield, MI
• Providers in Southfield, 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 29, 2016; 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.