Individual provider Active NPI

Arash Javanbakht, MD

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1689985699
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301097075 Issued in MI
Practice address
3901 Chrysler Service Dr.
Detroit, MI 48201-2167
Phone
(313) 993-3434
Fax
(313) 993-3421
NPI assigned
Jun 24, 2010
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Male
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 4301097075 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
I20150918001323 MI Practitioner - Neuropsychiatry 2264749548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301097075MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Plan Medical Centers CurrentSince Feb 1, 2017 Accepting new patients
The Wellness Plan Medical Centers CurrentSince Feb 1, 2017 Accepting new patients
University Physician Group CurrentSince Oct 1, 2015 Accepting new patients
University Physician Group CurrentSince Oct 1, 2015 Accepting new patients
University Physician Group Psychiatry Past Accepting new patients

Locations

2888 W Grand Blvd
Detroit, MI 48202
Phone (313) 875-4200

3901 Chrysler Dr
Ste 3B
Detroit, MI 48201
Phone (313) 577-1396

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

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

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

21040 Greenfield Rd
Oak Park, MI 48237
Phone (248) 967-1888

1560 E Maple Rd
Ste 400
Troy, MI 48083

Interoperability endpoints

  • Direct secure messaging: arash.javanbakht.1@19711.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD

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, 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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1689985699",
    "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": "JAVANBAKHT",
        "first_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301097075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.