Shahzad Ahmed Farooqi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301082851 Issued in MI

Practice address

4050 E 12 Mile Rd
Warren, MI 48092

Phone

(586) 261-2266

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Insync Behavioral Health PLLC

  • Psychiatry Physician
  • New Baltimore, MI
  • NPI 1730563545
  NPD Authorized official
• Bca of Detroit, LLC

  • Psychiatric Hospital
  • Detroit, MI
  • NPI 1699926113
  NPD (past)
• Rose Hill Center Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Holly, MI
  • NPI 1053495648
  NPD (past)
• Rose Hill Center Inc

  • Community/Behavioral Health Agency
  • Holly, MI
  • NPI 1699308734
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1457406720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 1645",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254525",
            "telephone_number": "248-283-1100",
            "fax_number": "248-283-1103"
        },
        {
            "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": "48092",
            "telephone_number": "586-261-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Rochester Ct",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831875",
            "country_code": "US",
            "telephone_number": "248-656-8500",
            "fax_number": "248-283-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35031 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "New Baltimore",
            "state": "MI",
            "postal_code": "480473649",
            "country_code": "US",
            "telephone_number": "586-684-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQI",
        "first_name": "SHAHZAD",
        "middle_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MI",
            "license": "4301082851",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301082851",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301082851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Fanfalone-Gladysz, RPH, MA
• Marin Faraj
• Kimberlee Ann Farhat
• Farjana M Alam MD PLLC
• Farjana M Alam MD PLLC
• Jessica Farraj, OTRL
• Michael James Farrug, MA LPC SCL LSW
• Stela Faseh
• Faye Zuhairy, LLC
• Hassan Adam Fayli

• 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 Sep 28, 2018; 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.