NPIMap

Organization Active NPI

Integrative Psychiatry Services PC

  • Psychiatry Physician
  • Bingham Farms, MI
National Provider Identifier
1790078558
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301079625 Issued in MI
Legal business name
INTEGRATIVE PSYCHIATRY SERVICES PC
Practice address
30300 Telegraph Rd, Suite 310
Bingham Farms, MI 48025
Phone
(248) 468-1889
Fax
(248) 419-2453
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Dr. Lila Massoumi, MDNPI 1033142476
Title
Owner
Phone
(248) 468-1889

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301079625 MI Primary

Addresses

Primary practice location

30300 Telegraph Rd, Suite 310
Bingham Farms, MI 48025

Mailing address

30300 Telegraph Rd, Suite 310
Bingham Farms, MI 48025
Phone (248) 468-1889

Other names 1

  • Michigan Integrative Holistic Psychiatry (MIHP) Doing business as

National Provider Directory

National Provider Directory

Locations

30300 Telegraph Rd
Ste 310
Bingham Farms, MI 48025
Phone (248) 468-1889

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1790078558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30300 TELEGRAPH RD, SUITE 310",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-468-1889",
            "fax_number": "248-419-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30300 TELEGRAPH RD, SUITE 310",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-468-1889",
            "fax_number": "248-419-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHIATRY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "MASSOUMI",
        "authorized_official_first_name": "LILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-468-1889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301079625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Integrative Holistic Psychiatry (MIHP)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michigan Integrative Holistic Psychiatry (MIHP)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.