VR Jasty MD PLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

4301057306 Issued in MI

Legal business name

VR JASTY MD PLC

Practice address

1525 University Dr
Auburn Hills, MI 48326-2675

Phone

(586) 484-7159

Fax

(248) 385-5771

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Venkata Ramana Jasty, MDNPI 1184661670

Title

Psychiatrist

Phone

(586) 484-7159

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkata R Jasty, MD

  • Psychiatry Physician
  • Auburn Hills, MI
  • NPI 1184661670
  Medicare reassignment Care Compare group Authorized official
• Jessica Michele Vanslambrouck, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dearborn, MI
  • NPI 1780441899

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Hassan Ajami, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Dearborn, MI
  • NPI 1568218832
  Medicare reassignment Care Compare group NPD (past)
• Mallory Kay Bulchak, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton Township, MI
  • NPI 1811761711
  Medicare reassignment

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1780746602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 BIRMINGHAM CLUB DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013119",
            "telephone_number": "586-484-7159",
            "fax_number": "248-385-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 UNIVERSITY DR",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262675",
            "telephone_number": "586-484-7159",
            "fax_number": "248-385-5771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18001 Rotunda Dr",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481243984",
            "country_code": "US",
            "telephone_number": "586-484-7159",
            "fax_number": "248-385-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VR JASTY MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "JASTY",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_middle_name": "RAMANA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "586-484-7159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MI",
            "license": "4301057306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4909747",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela L Venegoni, LLMSW
• Brian Venglar, PT, DPT
• Kyle Jerome Vens
• Olga Voight, SPEECH PATHOLOGIST
• Taylor Katherine Volpe
• Abigail Wadell
• Wal-Mart Stores East LP
• Megan Walas Butcher, MSPT
• Carol Wallace
• Dawn Walsh, OD

• Geriatric Psychiatry Physician in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Geriatric Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.