Progressive Neuro-Psychiatry, P.C.

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

033694 Issued in MI

Legal business name

PROGRESSIVE NEURO-PSYCHIATRY, P.C.

Practice address

29240 Buckingham St
Suite 8a
Livonia, MI 48154-4575

Phone

(248) 299-4211

Fax

(248) 299-2392

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jorge S Zuniga, M.D.NPI 1689638140

Title

President

Phone

(248) 299-4211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Salustio Zuniga, M.D.

  • Psychiatry Physician
  • Livonia, MI
  • NPI 1689638140
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578681649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29240 BUCKINGHAM ST",
            "address_2": "SUITE 8A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544575",
            "telephone_number": "248-299-4211",
            "fax_number": "248-299-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29240 BUCKINGHAM ST",
            "address_2": "SUITE 8A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544575",
            "telephone_number": "248-299-4211",
            "fax_number": "248-299-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE NEURO-PSYCHIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-299-4211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MI",
            "license": "033694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional OBGYN PC
• Professional Preventive Restoration & Consultant Services
• Progressive Behavioral Home Health Care PLC
• Progressive Home Care Services
• Progressive Homecare Systems Inc
• Project Compassion Health (Livonia Woods Nursing & Rehab)
• Amber Marie Prong
• Prostik Solutions LLC
• Samantha Lynn Pruitt
• Keayla Pryor

• Group Psychotherapy Psychologist in Livonia, MI
• Providers in Livonia, MI by specialty
• Group Psychotherapy Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.