Bens Jean-Gerald Sandaire, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5101011931 Issued in MI

Practice address

4050 E 12 Mile Rd
Warren, MI 48092-2534

Phone

(313) 574-8579

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bens.sandaire@ipsychiatry.direct.kno2fy.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holistic Psychiatry

  • Psychiatry Physician
  • Warren, MI
  • NPI 1184395410
  Medicare reassignment NPD Authorized official
• Bca of Detroit, LLC

  dba Stonecrest Center

  • Psychiatric Hospital
  • Detroit, MI
  • NPI 1699926113
  Medicare reassignment NPD
• Team Wellness Center

  • Community Health Clinic/Center
  • Detroit, MI
  • NPI 1588855100
  Medicare reassignment NPD
• Team Mental Health Services Inc.

  dba Team Wellness Center

  • Primary Care Clinic/Center
  • Detroit, MI
  • NPI 1295324291
  NPD
• T & G Corporation Inc

  dba The Behavioral Center of Michigan

  • Psychiatric Hospital
  • Warren, MI
  • NPI 1588672406
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1417156332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BEDFORD LN",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301801",
            "telephone_number": "313-574-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922534",
            "telephone_number": "313-574-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAIRE",
        "first_name": "BENS",
        "middle_name": "JEAN-GERALD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101011931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorcas Sam-Ayodele, DDS
• Tiffany Sampson
• David Joseph Samrah, MD
• Samson P Samuel, M.D.
• Anna Marie Samulski-Doe, LMSW
• Ariel Sanders
• Krystal L Sandifer
• Todd Sanfield
• Elija Kamal Sansom, M.P.T.
• Molly Santin, LLMSW

• Psychiatry Physician in Warren, MI
• Providers in Warren, 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 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.