Individual provider Active NPI

Danya Berri

  • Psychiatry Physician
  • Livonia, MI
National Provider Identifier
1689135089
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301509210 Issued in MI
Practice address
39000 7 Mile Rd # 3100
Livonia, MI 48152-1006
Phone
(734) 743-3480
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 4301509210 MI Primary

Addresses

Primary practice location

39000 7 Mile Rd # 3100
Livonia, MI 48152-1006

Mailing address

39000 7 Mile Rd
Livonia, MI 48152-1006
Phone (734) 743-3480

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
I20230803004388 MI Practitioner - Psychiatry 5193056406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1537 Monroe St
Suite 200
Dearborn, MI 48124-2842
Phone (734) 743-3480

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Psychiatry PC Psychiatry CurrentSince May 10, 2023 Accepting new patients

Locations

1537 Monroe St
Ste 200
Dearborn, MI 48124
Phone (313) 565-9124

39000 7 Mile Rd
Livonia, MI 48152
Phone (734) 464-0400

39000 7 Mile Rd
#3100
Livonia, MI 48152
Phone (734) 743-3480

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1689135089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521006",
            "telephone_number": "734-743-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 7 MILE RD # 3100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521006",
            "telephone_number": "734-743-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRI",
        "first_name": "DANYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301509210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.