Muhammad Fahad Abbasi, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Canton, MI
NPI 1326802471 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1326802471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 4704287953 (MI)
- Practice address
- 42485 Majestic CT
Canton, MI 48188-1136 - Phone
- (520) 784-1731
- NPI assigned
- Feb 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
34841 Veterans PLZ
Wayne, MI 48184-1733
42485 Majestic CT
Canton, MI 48188-1136
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260124000046 | MI | Practitioner - Nurse Practitioner | 3173000791 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704287953 | MI | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Psychiatry of Michigan PLLC | Current |
Accepting new patients |
Locations
2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358
650 E Big Beaver Rd
Ste C
Troy, MI 48083
Phone (248) 781-8921
34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704287953 | MI | Yes |
Addresses
Primary practice location
42485 Majestic CT
Canton, MI 48188-1136
Mailing address
42485 Majestic CT
Canton, MI 48188-1136
Phone (520) 784-1731
Other providers in Canton, MI
- A1 Home Help Agency Inc
- A2Z Management & Consulting Services LLC
- Emily Renee Aaron
- Hiba Abbasi
- Madeeha Raja Abbasi
- Samir Abdel-Hak
- Sara Abdrabboh
- Kinan M Abdul Baki
- Nusaybah Abdul-Lateef
- Tariqah Abdur-Rasheed
All providers in Canton, MI · Psychiatric/Mental Health Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.