Psychiatric Associates PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5101009079 Issued in MI

Legal business name

PSYCHIATRIC ASSOCIATES PC

Practice address

15659 W 10 Mile Rd
Southfield, MI 48075-2188

Phone

(248) 569-4290

Fax

(248) 569-9478

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Pitts, DO

Title

President

Phone

(248) 569-4290

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1285802249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15659 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752188",
            "telephone_number": "248-569-4290",
            "fax_number": "248-569-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15659 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752188",
            "telephone_number": "248-569-4290",
            "fax_number": "248-569-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-569-4290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101009079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2756302514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC NETWORK",
            "identifier": "2756302514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Pruitt
• Jamarr A Pruitt, CARDIO PHLEBOTOMIST
• Renee M Przeslawski, MPT
• Kelly Maureen Pseres, ANP-BC
• PSJ Anesthesia PC
• Psychological Assets PC
• Victoria Puchalski
• Gabriela Puente-Solorio
• Maria Puente-Solorios
• Sheila Natalie Pugh, L.P.N

• All providers in Southfield, MI
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.