Individual provider Active NPI

Amita Kapoor, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1508502436
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704278836 Issued in MI
Practice address
29550 Five Mile Rd
Livonia, MI 48154-3710
Phone
(734) 422-9340
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 4704278836 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704278836 MI Primary

Addresses

Primary practice location

29550 Five Mile Rd
Livonia, MI 48154-3710

Mailing address

2520 S Telegraph Rd
Bloomfield Hills, MI 48302-0285
Phone (800) 395-3223

Other practice location 1

2520 S Telegraph Rd
Bloomfield Hills, MI 48302-0285
Phone (800) 395-3223

Other practice location 2

5797 Felske Dr
Brighton, MI 48116-9505
Phone (248) 716-0401

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
I20220808002591 MI Practitioner - Nurse Practitioner 8325420318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ismail B Sendi MD PCGroup PAC ID 4688674534, 72 clinicians

Practice addresses (Care Compare)

2520 S Telegraph Rd
100 New Oakland Family Centers
Bloomfield, MI 48302-0202
Phone (800) 395-3223

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704278836MIMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Mental Health Centers Staffing LLC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Revival Recovery Center Staffing LLC CurrentSince Apr 1, 2025 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jun 29, 2022 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jun 29, 2022 Accepting new patients

Locations

2520 S Telegraph Rd
Ste 100
Bloomfield Hills, MI 48302
Phone (248) 335-9207

5797 Felske Dr
Brighton, MI 48116
Phone (248) 716-0401

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

29550 5 Mile Rd
Livonia, MI 48154
Phone (734) 422-9340

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1508502436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S TELEGRAPH RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020285",
            "telephone_number": "800-395-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29550 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543710",
            "telephone_number": "734-422-9340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 S Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483020285",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5797 Felske Dr",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481169505",
            "country_code": "US",
            "telephone_number": "248-716-0401",
            "fax_number": "248-749-6605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "AMITA",
        "credential": "MSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704278836",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704278836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.