Organization Active NPI

Hope Psychiatric Services PLLC

  • Psychiatry Physician
  • Davison, MI
National Provider Identifier
1801507264
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HOPE PSYCHIATRIC SERVICES PLLC
Practice address
9171 Lapeer Rd Ste 300
Davison, MI 48423-3617
Phone
(248) 214-9638
NPI assigned
Dec 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Mohammad Jafferany, M.D.NPI 1811008139
Title
Auth Official/Owner
Phone
(989) 607-9232

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 Primary

Addresses

Primary practice location

9171 Lapeer Rd Ste 300
Davison, MI 48423-3617

Mailing address

9171 Lapeer Rd Ste 300
Davison, MI 48423-3617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221222000804 MI Part B Supplier - Clinic/Group Practice 7315317997 Receives reassigned benefits from 5 practitioners
Practice locations: Davison, MI

National Provider Directory

National Provider Directory

Locations

9171 Lapeer Rd
Ste 300
Davison, MI 48423
Phone (810) 214-1750

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1801507264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 LAPEER RD STE 300",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 LAPEER RD STE 300",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233617",
            "telephone_number": "248-214-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "JAFFERANY",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "AUTH OFFICIAL/OWNER",
        "authorized_official_telephone_number": "989-607-9232",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.