Individual provider Active NPI

Barbara Henike, M.D.

  • Psychiatry Physician
  • Saint Clair Shores, MI
National Provider Identifier
1255304085
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301035131 Issued in MI
Practice address
24001 Greater Mack Ave
Suite C
St Clair Shores, MI 48080-1407
Phone
(586) 772-3244
NPI assigned
Feb 10, 2006
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 4301035131 MI Primary

Addresses

Primary practice location

24001 Greater Mack Ave
Suite C
St Clair Shores, MI 48080-1407

Mailing address

24001 Greater Mack Ave
Suite C
St Clair Shores, MI 48080-1407
Phone (586) 772-3244

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
I20050920000350 MI Practitioner - Psychiatry 1052344801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health Eastwood Behavioral HealthGroup PAC ID 2163324492, 51 clinicians

Practice addresses (Care Compare)

17250 Farmington Rd
Livonia, MI 48152-3151
Phone (734) 425-4070

27739 Jefferson Ave
Suite 102
Saint Clair Shores, MI 48081-1309
Phone (586) 772-3244

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abdallah E Zamaria MD and Barbara Henike MD PC Psychiatry CurrentSince Apr 30, 2003 Accepting new patients
Henry Ford Health Eastwood Behavioral Health CurrentSince Jun 1, 2020 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Psychiatry PastSince Feb 19, 2023 Accepting new patients

Locations

37500 Garfield Rd
Ste 175
Clinton Twp, MI 48036
Phone (586) 792-5335

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

24055 Jefferson Ave
Ste 103
Saint Clair Shores, MI 48080
Phone (586) 445-2210

27739 Jefferson Ave
Ste 102
Saint Clair Shores, MI 48081
Phone (586) 772-3244

23077 Greenfield Rd
Ste 445
Southfield, MI 48075
Phone (248) 559-1266

24001 Greater Mack Ave
Ste C
St Clr Shores, MI 48080
Phone (586) 772-3244

Interoperability endpoints

  • Direct secure messaging: bhenike1131914@direct.hfhs.org

Organizations & group practices 3

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1255304085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24001 GREATER MACK AVE",
            "address_2": "SUITE C",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801407",
            "telephone_number": "586-772-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24001 GREATER MACK AVE",
            "address_2": "SUITE C",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801407",
            "telephone_number": "586-772-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENIKE",
        "first_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301035131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.