Suhasini S Mistry MD PLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

047972 Issued in MI

Legal business name

SUHASINI S MISTRY MD PLC

Practice address

18420 Farmington Rd
Livonia, MI 48152-3588

Phone

(734) 425-5320

Fax

(734) 425-6212

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Donna Darst

Title

Office Manager

Phone

(734) 425-5320

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Amy Lynn Widenbaum, MSW,LMSW,CSW,ACSW

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1558428276
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1649606724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18420 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523588",
            "telephone_number": "734-425-5320",
            "fax_number": "734-425-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18420 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523588",
            "telephone_number": "734-425-5320",
            "fax_number": "734-425-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUHASINI S MISTRY MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "DARST",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-425-5320"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "047972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OH28401",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2826930",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Subburaman Sivakumar MD PC
• Suburban Optometrics Assoc P C
• Successful Living Afc
• Successfully Living Inc
• Christine Suh
• Jeffrey Albert Suhre
• Alyssa Suiter
• Dhara Sukhadia
• Hiba Sulaiman
• Andrea L Sulak, MA, LLP

• Psychiatry Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.