Individual provider Active NPI

Teresa M Chahine, RN, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1255631875
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704170841 Issued in MI
Practice address
13854 Lakeside Cir
Sterling Heights, MI 48313-1316
Phone
(586) 806-9355
NPI assigned
Oct 29, 2010
Last updated
Aug 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704170841 MI Primary

Addresses

Primary practice location

13854 Lakeside Cir
Sterling Heights, MI 48313-1316

Mailing address

5600 W Maple Rd Ste B206
West Bloomfield, MI 48322-3707
Phone (248) 629-0330

Other identifiers 1

IdentifierTypeStateIssuer
0N13980MedicaidMI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110725000642 MI Practitioner - Nurse Practitioner 7416125133 Reassigns benefits to 3 organizations
Practice locations: Sterling Heights, MI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5528 Metro Pkwy
Sterling HTS, MI 48310-4105
Phone (586) 795-3232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Aug 26, 2013 Accepting new patients
County of Macomb CurrentSince Aug 26, 2013 Accepting new patients
County of Macomb CurrentSince Aug 26, 2013 Accepting new patients
Henry Ford Health System CurrentSince Aug 26, 2013 Accepting new patients
A Better Tomorrow Counseling and Consultation Services, LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

5340 Holiday Ter
Ste 9
Kalamazoo, MI 49009
Phone (269) 381-4446

24801 5 Mile Rd
Ste 7
Redford, MI 48239
Phone (248) 281-3862

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

Organizations & group practices 5

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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1255631875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE B206",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223707",
            "telephone_number": "248-629-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13854 LAKESIDE CIR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131316",
            "telephone_number": "586-806-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHINE",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704170841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0N13980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.