GT Psychiatric Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GT PSYCHIATRIC SERVICES

Practice address

29532 Southfield Rd Ste 115
Southfield, MI 48076-2023

Phone

(734) 724-5341

Fax

(734) 506-1647

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Moore, MDNPI 1083902977

Title

Founder

Phone

(734) 724-5341

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Gordon Moore, MD

  • Psychiatry Physician
  • Port Huron, MI
  • NPI 1083902977
  NPD Authorized official

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1336969617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702097",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481700975",
            "telephone_number": "734-724-5341",
            "fax_number": "734-506-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29532 SOUTHFIELD RD STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762023",
            "telephone_number": "734-724-5341",
            "fax_number": "734-506-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GT PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "734-724-5341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Elaine Groves
• Tracy Chase Groves, CRNA
• Amber Gruesbeck
• Diane J Grzech, LMSW
• Gsha, LLC
• Guardian Care, Inc.
• Guardian Medical Equipment, Inc.
• Guardian Medical Equipment, Inc.
• Guardian Medical Monitoring, LLC
• Guardianship Network, Inc

• Psychiatry Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.