Individual provider Active NPI

Emma Lavinia Manuszak, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1497410427
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704364723 Issued in MI
Practice address
43200 Dequindre Rd
Sterling Heights, MI 48314-1707
Phone
(586) 799-4350
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704364723 MI Primary

Addresses

Primary practice location

43200 Dequindre Rd
Sterling Heights, MI 48314-1707

Mailing address

1108 W University Dr Apt 1
Rochester Hills, MI 48307-1881
Phone (248) 773-9430

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220208000149 MI Practitioner - Nurse Practitioner 3971996364 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hani Mekhael MD PLLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

1525 University Dr
Auburn Hills, MI 48326
Phone (248) 371-2200

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

43200 Dequindre Rd
Ste 104
Sterling Hts, MI 48314
Phone (586) 799-4350

Interoperability endpoints

  • Direct secure messaging: erinck1672356@direct.trinity-health.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1497410427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W UNIVERSITY DR APT 1",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071881",
            "telephone_number": "248-773-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-799-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUSZAK",
        "first_name": "EMMA",
        "middle_name": "LAVINIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704364723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.