Psychiatric Consultants of Grand Blanc PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHIATRIC CONSULTANTS OF GRAND BLANC PLLC

Practice address

8305 S Saginaw St Ste 6
Grand Blanc, MI 48439-1894

Phone

(810) 445-8405

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Purna Surapaneni, MDNPI 1154429934

Title

Owner

Phone

(810) 445-8405

Specialties & licenses 2

Addresses

Practitioners 3

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.

• Purna R Surapaneni, MD

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1154429934
  NPD (past) Authorized official
• Kenneth Scott Lounds, L.M.S.W.

  • Clinical Social Worker
  • Grand Blanc, MI
  • NPI 1184867186
  NPD
• Denise Drinkard

  • Clinical Social Worker
  • Grand Blanc, MI
  • NPI 1124407937
  NPD (past)

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1215711676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 S SAGINAW ST STE 6",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391894",
            "telephone_number": "810-445-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 S SAGINAW ST STE 6",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391894",
            "telephone_number": "810-445-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CONSULTANTS OF GRAND BLANC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "SURAPANENI",
        "authorized_official_first_name": "PURNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-445-8405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.