Organization Active NPI

Bloomfield Behavioral Health Associates PLLC

  • Psychiatry Physician
  • Bloomfield Township, MI
National Provider Identifier
1497608384
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BLOOMFIELD BEHAVIORAL HEALTH ASSOCIATES PLLC
Practice address
4111 Andover Rd Ste 125
Bloomfield Township, MI 48302-1909
Phone
(248) 737-4525
NPI assigned
Feb 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Mr. Sanjeev Venkataraman, MDNPI 1629120282
Title
Sole Member
Phone
(248) 737-4525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4111 Andover Rd Ste 125
Bloomfield Township, MI 48302-1909

Mailing address

4111 Andover Rd Ste 125
Bloomfield Township, MI 48302-1909
Phone (248) 737-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260403002301 MI Part B Supplier - Clinic/Group Practice 6608351994 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield Township, MI

National Provider Directory

National Provider Directory

Locations

4111 Andover Rd
Ste 125
Bloomfield Township, MI 48302
Phone (248) 737-4525

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1497608384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 ANDOVER RD STE 125",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483021909",
            "telephone_number": "248-737-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 ANDOVER RD STE 125",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483021909",
            "telephone_number": "248-737-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD BEHAVIORAL HEALTH ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "VENKATARAMAN",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-737-4525",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

Other providers in Bloomfield Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.