NPIMap

Organization Active NPI

Hospital Psychiarty PLLC

  • Neurology Physician
  • Saginaw, MI
National Provider Identifier
1144590290
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301083191 Issued in MI
Legal business name
HOSPITAL PSYCHIARTY PLLC
Practice address
3353 Silverwood Dr
Saginaw, MI 48603-2180
Phone
(989) 493-9001
NPI assigned
Jan 6, 2012
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Ali Ibrahim, MDNPI 1710089388
Title
Owner
Phone
(989) 996-0566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301083191 MI Primary

Addresses

Primary practice location

3353 Silverwood Dr
Saginaw, MI 48603-2180

Mailing address

3785 Bay Rd
Saginaw, MI 48603-2433
Phone (989) 791-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120612000528 MI Part B Supplier - Clinic/Group Practice 0547424186 Receives reassigned benefits from 13 practitioners
Practice locations: Saginaw, MI; Tawas City, MI; West Branch, MI

National Provider Directory

National Provider Directory

Locations

3085 Hallmark Ct
Ste 1
Saginaw, MI 48603
Phone (989) 996-0566

4905 Berl Dr
Saginaw, MI 48604
Phone (989) 996-0566

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1144590290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032433",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 SILVERWOOD DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032180",
            "telephone_number": "989-493-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL PSYCHIARTY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-996-0566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301083191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.