Psychiatric Services of Grosse Pointe

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301006332 Issued in MI

Legal business name

PSYCHIATRIC SERVICES OF GROSSE POINTE

Practice address

25509 Kelly Rd Ste a
Roseville, MI 48066-5823

Phone

(586) 252-2616

Fax

(313) 563-8443

NPI assigned

Jan 9, 2007

Last updated

Mar 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Darryl AdamoNPI 1851311021

Title

Owner

Phone

(586) 252-2616

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• James Darryl Adamo, M.D.

  • Psychiatry Physician
  • Roseville, MI
  • NPI 1851311021
  NPD Authorized official
• Melissa Altomare, L.M.S.W.

  • Clinical Social Worker
  • Grosse Pointe Farms, MI
  • NPI 1710191846
  Medicare reassignment
• Raul Jaime Guerrero, M.D.

  • Psychiatry Physician
  • Grosse Pointe Farms, MI
  • NPI 1861412033
  NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1639228000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25509 KELLY RD STE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665823",
            "telephone_number": "586-252-2616",
            "fax_number": "313-563-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25509 KELLY RD STE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665823",
            "telephone_number": "586-252-2616",
            "fax_number": "313-563-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES OF GROSSE POINTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "ADAMO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DARRYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-252-2616"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006332",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801076906",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Popovski, DO
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• Professional Dental Alliance of Michigan, LLC (Dental Care of Michigan, Roseville)
• Promed Primary Care PLLC
• Promed Urgent Care PLLC
• Public Supplies LLC
• Pura LLC
• Michele L Puzzuoli, LMSW
• Grace Lozada Quiogue
• Jordan Elizabeth Radcliff

• Psychologist in Roseville, MI
• Providers in Roseville, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.