Individual provider Active NPI

Gabriella Geiszt, MD

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1679633549
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301069873 Issued in MI
Practice address
3901 Chrysler Service Dr
Detroit, MI 48201-2167
Phone
(313) 993-3434
Fax
(313) 993-3421
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301069873 MI Primary

Addresses

Primary practice location

3901 Chrysler Service Dr
Detroit, MI 48201-2167

Mailing address

1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (313) 993-3434

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000369 MI Practitioner - Psychiatry 4981502879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

16836 Newburgh Rd
Suite 27
Livonia, MI 48154-1600
Phone (734) 464-4220

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Pediatrics Inc. CurrentSince Feb 11, 2022 Accepting new patients
University Physician Group CurrentSince Aug 2, 2010 Accepting new patients
University Physician Group Psychiatry Past Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC PastSince Feb 11, 2022 Accepting new patients
University Physician Group Past Accepting new patients

Locations

400 Mack Ave
Ste 9
Detroit, MI 48201

400 Mack Ave
Ste 1
Detroit, MI 48201
Phone (313) 448-9600

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

16836 Newburgh Rd
Ste 27
Livonia, MI 48154

1560 E Maple Rd
Ste 400
Troy, MI 48083

Interoperability endpoints

  • Direct secure messaging: ggeiszt@direct.dmc.org
  • Direct secure messaging: gabriella.geiszt.1@19711.direct.athenahealth.com
  • Direct secure messaging: ggeistz694738@direct.hfhs.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1679633549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "313-993-3434",
            "fax_number": "313-993-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CHRYSLER SERVICE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012167",
            "telephone_number": "313-993-3434",
            "fax_number": "313-993-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISZT",
        "first_name": "GABRIELLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301069873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.