Individual provider Active NPI

Safaa Shakik Hakim, MD

  • Psychiatry Physician
  • Rochester Hills, MI
National Provider Identifier
1245397348
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
028538 Issued in CT
Practice address
640 Snowmass Dr
Rochester Hills, MI 48309-1322
Phone
(860) 886-9114
Fax
(248) 659-8032
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 028583 CT
Psychiatry Physician 2084P0800X 028538 CT Primary

Addresses

Primary practice location

640 Snowmass Dr
Rochester Hills, MI 48309-1322

Mailing address

640 Snowmass Dr
Rochester Hills, MI 48309-1322
Phone (860) 886-9114

Other names 1

  • Dr. Safaa Shakik Rezualla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040729000456 CT Practitioner - Psychiatry 0042280786 Practice locations: Norwich, CT
I20260615002179 MI Practitioner - PsychiatryPractitioner - Neurology 0042280786 Practice locations: Rochester Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

640 Snowmass Dr
Rochester Hills, MI 48309-1322
Phone (860) 886-9114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028583CTMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1245397348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SNOWMASS DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091322",
            "telephone_number": "860-886-9114",
            "fax_number": "248-659-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SNOWMASS DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091322",
            "telephone_number": "860-886-9114",
            "fax_number": "248-659-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "SAFAA",
        "middle_name": "SHAKIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "028583",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "028538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAFAA",
            "last_name": "REZUALLA",
            "middle_name": "SHAKIK",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.