Individual provider Active NPI

Jeremy Meir Baruch, MD

  • Psychiatry Physician
  • Ann Arbor, MI
National Provider Identifier
1205366580
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301112589 Issued in MI
Practice address
1125 Olivia Ave
Ann Arbor, MI 48104-3930
Phone
(248) 318-9879
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 4301112589 MI Primary

Addresses

Primary practice location

1125 Olivia Ave
Ann Arbor, MI 48104-3930

Mailing address

1125 Olivia Ave
Ann Arbor, MI 48104-3930
Phone (248) 318-9879

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
I20190923001050 MI Practitioner - Psychiatry 8921376526 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baruch Psychiatry PLLC Psychiatry CurrentSince Jan 2, 2022 Accepting new patients
Chelsea Community Hospital CurrentSince May 1, 2022 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Service Corporation CurrentSince Dec 1, 2024 Accepting new patients
St Joseph Mercy Hospital Psychiatry CurrentSince Jul 20, 2019 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Chelsea Community Hospital Psychiatry CurrentSince May 1, 2022 Accepting new patients
St Joseph Mercy Hospital CurrentSince Jul 20, 2019 Accepting new patients
Iha Health Services Corporation Psychiatry CurrentSince Dec 1, 2024 Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5361 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-1300

Interoperability endpoints

  • Direct secure messaging: jbaruch143067@direct.trinity-health.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1205366580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 OLIVIA AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043930",
            "telephone_number": "248-318-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 OLIVIA AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043930",
            "telephone_number": "248-318-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUCH",
        "first_name": "JEREMY",
        "middle_name": "MEIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301112589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.