Active NPI
Anjum Afshan Handoo, MD
- Child & Adolescent Psychiatry Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 4301082029
- Practice address
- Ccis 1402 S Saginaw
Flint, MI 48503 - Phone
- (810) 257-3676
- Fax
- (810) 257-0713
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301082029 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301082029 | MI | Primary |
Addresses
Primary practice location
Ccis 1402 S Saginaw
Flint, MI 48503
Mailing address
Ccis 1402 S Saginaw
Flint, MI 48503
Phone (810) 257-3676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104815551 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082029 | MI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. a. Foote Memorial Hospital, Inc. | Psychiatry | Current | Accepting new patients |
| Genesee Health System | Current | Accepting new patients | |
| Genesee Health System | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724
1402 S Saginaw St
Flint, MI 48503
Phone (810) 496-4955
420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
Interoperability endpoints
- ahandoo454919@direct.hfhs.org
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1043554348
-
- Federally Qualified Health Center (FQHC)
- Flint, MI
- NPI 1962140137
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1326078866
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1750320479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CCIS 1402 S SAGINAW",
"city": "FLINT",
"state": "MI",
"postal_code": "48503",
"telephone_number": "810-257-3676",
"fax_number": "810-257-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CCIS 1402 S SAGINAW",
"city": "FLINT",
"state": "MI",
"postal_code": "48503",
"telephone_number": "810-257-3676",
"fax_number": "810-257-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDOO",
"first_name": "ANJUM",
"middle_name": "AFSHAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2025-08-13",
"certification_date": "2025-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301082029",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301082029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104815551",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.