Active NPI
Geriatric Psychiatric Services PLLC
- Geriatric Psychiatry Physician
- Troy, MI
National Provider Identifier
1801035902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- GERIATRIC PSYCHIATRIC SERVICES PLLC
- Practice address
- 363 W Big Beaver Rd
Suite 200
Troy, MI 48084-5220 - Phone
- (248) 597-4515
- Fax
- (248) 597-4533
- NPI assigned
- Feb 12, 2009
- Organization subpart
- Yes
- Parent organization
- GERIATRIC PSYCHIATRIC SERVICES PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Clemente
- Title
- Manager
- Phone
- (248) 619-9771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | Primary |
Addresses
Primary practice location
363 W Big Beaver Rd
Suite 200
Troy, MI 48084-5220
Mailing address
30781 Stephenson Hwy
Madison HTS, MI 48071-1618
Phone (248) 583-8922
Other names 1
- Geriatric Psychiatric Services IN MD Group
National Provider Directory
National Provider Directory- Part of
- Geriatric Psychiatric PLLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Psychiatry Physician
- Troy, MI
- NPI 1467773408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234396800000",
"number": "1801035902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30781 STEPHENSON HWY",
"city": "MADISON HTS",
"state": "MI",
"postal_code": "480711618",
"telephone_number": "248-583-8922",
"fax_number": "248-583-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 W BIG BEAVER RD",
"address_2": "SUITE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480845220",
"telephone_number": "248-597-4515",
"fax_number": "248-597-4533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC PSYCHIATRIC SERVICES PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GERIATRIC PSYCHIATRIC SERVICES PLLC",
"enumeration_date": "2009-02-12",
"last_updated": "2009-02-12",
"status": "A",
"authorized_official_last_name": "CLEMENTE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "248-619-9771"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Geriatric Psychiatric Services IN MD Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.