Denise Graham, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301047488 Issued in MI

Practice address

24401 Capital Blvd
Clinton Township, MI 48036-1343

Phone

(586) 783-2950

Fax

(586) 690-4333

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Renewal Christian Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Clemens, MI
  • NPI 1548211535
  NPD
• Dr Concepcion & Associates Therapeutic Ctr

  • Clinic/Center
  • Lafayette, LA
  • NPI 1245407931
  NPD (past)
• Our Lady of the Lake

  dba Family Center for Mental Health

  • Psychiatry Physician
  • Baton Rouge, LA
  • NPI 1851391148
  NPD (past)
• Our Lady of the Lake Physician Group LLC

  dba OLOL Physician Surgical Specialty

  • Hematology & Oncology Physician
  • Baton Rouge, LA
  • NPI 1184671455
  NPD (past)
• Psychcare of Louisiana, LLC

  dba Shifa Commmunity Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1982685228
  NPD (past)
• State of Tennessee-Western Mental Health Institute

  • Psychiatric Hospital
  • Bolivar, TN
  • NPI 1538114020
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1689609737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 CAPITAL BLVD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361343",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CAPITAL BLVD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361343",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301047488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrius Govan
• Kathleen Lillian Graca
• Grace 21 Hospice Agency LLC
• Grace Endocrine Services PLLC
• Mira Grace, MD
• Amy Danielle Gramzow, D.C.
• Andrew Orendain Granada
• Kelly Nagel Grant, NP
• Koda Lynne Grasl
• Robin I Gravlin, LLPC

• Psychiatry Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.