NPIMap

Organization Active NPI

Arab American and Chaldean Council

Doing business as Acc

  • Psychiatry Physician
  • Troy, MI
National Provider Identifier
1689006975
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ARAB AMERICAN AND CHALDEAN COUNCIL
Doing business as
Acc
Practice address
363 W Big Beaver Rd Ste 315
Troy, MI 48084-5242
Phone
(248) 354-8460
Fax
(248) 354-4979
NPI assigned
Aug 8, 2013
Reactivated
Apr 20, 2015
Last updated
Sep 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Mrs. Carmen Sarafa, MA, LPCNPI 1447309463
Title
Director of Behavioral Health
Phone
(313) 893-6172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

363 W Big Beaver Rd Ste 315
Troy, MI 48084-5242

Mailing address

363 W Big Beaver Rd Ste 315
Troy, MI 48084-5242
Phone (248) 354-8460

Other identifiers 1

IdentifierTypeStateIssuer
3434247.MedicaidMI

Other names 1

  • ACC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.acc@direct.mihin.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008000669 MI Part B Supplier - Clinic/Group Practice 2365401874 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dearborn, MI; Detroit, MI; Sterling Heights, MI; Troy, MI

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

26400 Lahser Rd
Ste 220
Southfield, MI 48033
Phone (248) 354-8460

34628 Dequindre Rd
Ste 2
Sterling Heights, MI 48310
Phone (586) 939-5016

37300 Dequindre Rd
Ste 100B
Sterling Heights, MI 48310
Phone (586) 264-3692

363 W Big Beaver Rd
Ste 315
Troy, MI 48084
Phone (248) 354-8460

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1689006975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD STE 315",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845242",
            "telephone_number": "248-354-8460",
            "fax_number": "248-354-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD STE 315",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845242",
            "telephone_number": "248-354-8460",
            "fax_number": "248-354-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARAB AMERICAN AND CHALDEAN COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "deactivation_date": "2015-02-11",
        "reactivation_date": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "SARAFA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "313-893-6172",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247.",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.acc@direct.mihin.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "363 W Big Beaver Rd Ste 315",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480845242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ACC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.