Individual provider Active NPI

Brandon Bassam Batarse, MD

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1154017580
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301515148 Issued in MI
Practice address
3901 Chrysler Dr Ste 5a
Detroit, MI 48201-2167
Phone
(313) 577-7523
NPI assigned
Apr 18, 2023
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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 4301515148 MI Primary

Addresses

Primary practice location

3901 Chrysler Dr Ste 5a
Detroit, MI 48201-2167

Mailing address

15 E Kirby St Apt 1226
Detroit, MI 48202-4033

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
I20260305000860 MI Practitioner - Psychiatry 2163880188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15 E Kirby St Apt
Suite 1226
Detroit, MI 48202-4033

19815 Mack Ave
Suite B19815
Grosse Pointe Woods, MI 48236-2505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301515148MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mynd Thera PLLC Psychiatry CurrentSince Feb 1, 2026 Accepting new patients

Locations

19815 Mack Ave
Ste B
Grosse Pointe Woods, MI 48236
Phone (313) 516-7143

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1154017580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST APT 1226",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CHRYSLER DR STE 5A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012167",
            "telephone_number": "313-577-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATARSE",
        "first_name": "BRANDON",
        "middle_name": "BASSAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301515148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.