NPIMap

Organization Active NPI

Centia Health LLC

  • Psychiatry Physician
  • Novi, MI
National Provider Identifier
1720686165
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTIA HEALTH LLC
Practice address
23802 Wintergreen Cir
Novi, MI 48374-3681
Phone
(236) 842-4328
NPI assigned
Oct 16, 2020
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Sosunmolu Opememi ShoyinkaNPI 1811181696
Title
Owner
Phone
(917) 589-4879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

23802 Wintergreen Cir
Novi, MI 48374-3681

Mailing address

7 Millwright Dr
Glen Mills, PA 19342-1363

National Provider Directory

National Provider Directory
Tax ID family
Centia Health LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1720686165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MILLWRIGHT DR",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23802 WINTERGREEN CIR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483743681",
            "telephone_number": "236-842-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTIA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2023-09-06",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "SHOYINKA",
        "authorized_official_first_name": "SOSUNMOLU",
        "authorized_official_middle_name": "OPEMEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-589-4879"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.