Individual provider Active NPI

Jorge Salustio Zuniga, M.D.

  • Psychiatry Physician
  • Livonia, MI
National Provider Identifier
1689638140
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
033694 Issued in MI
Practice address
29240 Buckingham St
Suite 8a
Livonia, MI 48154-4575
Phone
(248) 299-4211
Fax
(248) 299-2392
NPI assigned
Apr 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 033694 MI Primary

Addresses

Primary practice location

29240 Buckingham St
Suite 8a
Livonia, MI 48154-4575

Mailing address

29240 Buckingham St
Suite 8a
Livonia, MI 48154-4575
Phone (248) 299-4211

Other identifiers 1

IdentifierTypeStateIssuer
10820892MedicaidMI

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
I20080303000322 MI Practitioner - Psychiatry 1254415052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

37450 Schoolcraft Rd
Suite 160
Livonia, MI 48150-1081
Phone (248) 299-4211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033694MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Neuro-Psychiatry, P.C. CurrentSince May 1, 2008 Accepting new patients
Advanced Psychiatric Medicine, P.C. Past Accepting new patients

Locations

29240 Buckingham St
Ste 8A
Livonia, MI 48154
Phone (248) 299-4211

37450 Schoolcraft Rd
Ste 160
Livonia, MI 48150
Phone (248) 299-4211

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689638140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29240 BUCKINGHAM ST",
            "address_2": "SUITE 8A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544575",
            "telephone_number": "248-299-4211",
            "fax_number": "248-299-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29240 BUCKINGHAM ST",
            "address_2": "SUITE 8A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544575",
            "telephone_number": "248-299-4211",
            "fax_number": "248-299-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "JORGE",
        "middle_name": "SALUSTIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "033694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10820892",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.