John William Head Jr., DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5101011560 Issued in MI

Practice address

2925 Russell St
Detroit, MI 48207-4825

Phone

(313) 396-5300

NPI assigned

Aug 12, 2006

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Michigan State University College of Osteopathic Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Team Mental Health Services IncGroup PAC ID 2264451830, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Team Wellness Center

  • Community Health Clinic/Center
  • Detroit, MI
  • NPI 1588855100
  Medicare reassignment Care Compare group NPD
• Head to Mind Psychiatric Services Inc

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1275727653
  Medicare reassignment Authorized official
• Common Ground

  • Community/Behavioral Health Agency
  • Pontiac, MI
  • NPI 1225100944
  Medicare reassignment
• Team Mental Health Services Inc.

  dba Team Wellness Center

  • Primary Care Clinic/Center
  • Detroit, MI
  • NPI 1295324291
  NPD
• Bca of Detroit, LLC

  dba Stonecrest Center

  • Psychiatric Hospital
  • Detroit, MI
  • NPI 1699926113
  NPD (past)
• New Center Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1306864129
  NPD (past)
• New Center Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1588672091
  NPD (past)
• Seniors Wellness Group of Michigan, P.C.

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1801848718
  NPD (past)
• T & G Corporation Inc

  dba The Behavioral Center of Michigan

  • Psychiatric Hospital
  • Warren, MI
  • NPI 1588672406
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1750393690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19450 ARGYLE CRES",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031402",
            "telephone_number": "313-733-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 RUSSELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074825",
            "telephone_number": "313-396-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11105 E Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482143317",
            "country_code": "US",
            "telephone_number": "313-396-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19450 Argyle Cres",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482031402",
            "country_code": "US",
            "telephone_number": "313-733-7641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6309 Mack Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482072302",
            "country_code": "US",
            "telephone_number": "313-670-1045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAD",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2023-09-06",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101011560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HC Exec Transport LLC
• Sophia Dan Qing He, MD
• Head to Mind Psychiatric Services Inc
• Head to Toe Transitions LLC
• Charles Head
• Misty Head, CNM, WHNP-BC
• Camille Headen
• Heal Well Detroit LLC
• Healing Hands Pharmacy LLC
• Healing House, LLC

• Psychiatry Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatry Physician in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.