West Bloomfield Psychiatric Services PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WEST BLOOMFIELD PSYCHIATRIC SERVICES PLLC

Practice address

5800 Naneva CT
West Bloomfield, MI 48322-2516

Phone

(248) 202-5589

NPI assigned

Oct 30, 2018

Organization subpart

No

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

Authorized official

Name

Satyamurthy Kotamraju, MDNPI 1083626501

Title

President

Phone

(248) 202-5589

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Satyamurthy Kotamraju, MD

  • Clinical Neurophysiology Physician
  • Detroit, MI
  • NPI 1083626501
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1376010140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 NANEVA CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222516",
            "telephone_number": "248-202-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 NANEVA CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222516",
            "telephone_number": "248-202-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BLOOMFIELD PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "KOTAMRAJU",
        "authorized_official_first_name": "SATYAMURTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-202-5589",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• West Bloomfield Prompt Care-PLLC
• West Bloomfield SNF LLC
• West Bloomfield Surgery Center, LLC
• West Broomfield Dialysis LLC
• West Maple Plastic Surgery PLLC
• West Oaks Dental Group

• Psychiatry Physician in West Bloomfield, MI
• Providers in West Bloomfield, 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 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.