Selena Rod Kassab, DO

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Practice address

1613 Hunters Run Dr
Grand Blanc, MI 48439-6322

Phone

(586) 453-2823

NPI assigned

Jun 18, 2025

Last updated

Jun 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Interoperability endpoints

• Direct secure messaging: skassab180813@direct.covenanthealthcare.com

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1578450136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HUNTERS RUN DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484396322",
            "telephone_number": "586-453-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 HUNTERS RUN DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484396322",
            "telephone_number": "586-453-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAB",
        "first_name": "SELENA",
        "middle_name": "ROD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caylee Kapa, BEHAVIOR TECHNICIAN
• Katelynn Karr, DO
• Steven C Karr, D.P.M.
• Ali Ahmed Karrar, M.D.
• Kristine Kase
• Mohammed Shozab Kazim, DO
• Allison Sokol Keel, D.O.
• Matthew Thomas Keely, RN
• Elissa Keller
• Teresa Lynn Keller, PTA

• Psychiatric Hospital in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Psychiatric Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.