Active NPI
Mind Health PLLC
- Psychiatry Physician
- Trenton, MI
National Provider Identifier
1730901463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MIND HEALTH PLLC
- Practice address
- 3645 West Rd
Trenton, MI 48183-2225 - Phone
- (734) 486-4200
- Fax
- (734) 486-4200
- NPI assigned
- Oct 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seemin Qureshi, PA
- Title
- Owner
- Phone
- (734) 486-4200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
3645 West Rd
Trenton, MI 48183-2225
Mailing address
3645 West Rd
Trenton, MI 48183-2225
Phone (734) 486-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241105001508 | MI | Part B Supplier - Clinic/Group Practice | 2668906264 |
Receives reassigned benefits from 1 practitioner Practice locations: Trenton, MI |
National Provider Directory
National Provider DirectoryLocations
3645 West Rd
Trenton, MI 48183
Phone (734) 486-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729728000000",
"number": "1730901463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 WEST RD",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832225",
"telephone_number": "734-486-4200",
"fax_number": "734-486-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 WEST RD",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832225",
"telephone_number": "734-486-4200",
"fax_number": "734-486-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "QURESHI",
"authorized_official_first_name": "SEEMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-486-4200",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.