Individual provider Active NPI

Alexander Hanmah Sackeyfio, M.D.

  • Psychiatry Physician
  • Farmington Hills, MI
National Provider Identifier
1215026422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301037718 Issued in MI
Practice address
23800 Orchard Lake Rd
Suite #104
Farmington Hills, MI 48336-2560
Phone
(248) 471-0785
Fax
(248) 471-1406
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4301037718 MI Primary

Addresses

Primary practice location

23800 Orchard Lake Rd
Suite #104
Farmington Hills, MI 48336-2560

Mailing address

23800 Orchard Lake Rd
Suite #104
Farmington Hills, MI 48336-2561
Phone (248) 471-0785

Other identifiers 1

IdentifierTypeStateIssuer
06304992OtherMIBCBSM

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
I20100116000110 MI Practitioner - Psychiatry 8921140740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23800 Orchard Lake Rd
Suite 104
Farmington Hills, MI 48336-2561
Phone (248) 471-0785

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander H. Sackeyfio, M.D., P.C. Psychiatry CurrentSince Jan 16, 2010 Accepting new patients

Locations

3601 W 13 Mile Rd
Royal Oak, MI 48073

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215026422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE RD",
            "address_2": "SUITE #104",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362561",
            "telephone_number": "248-471-0785",
            "fax_number": "248-471-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE RD",
            "address_2": "SUITE #104",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362560",
            "telephone_number": "248-471-0785",
            "fax_number": "248-471-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKEYFIO",
        "first_name": "ALEXANDER",
        "middle_name": "HANMAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301037718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "06304992",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.