Individual provider Active NPI

Howard Chang, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, MI
National Provider Identifier
1811632433
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704356798 Issued in MI
Practice address
8150 E 13 Mile Rd
Warren, MI 48093-8700
Phone
(586) 825-9700
NPI assigned
Apr 28, 2022
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704356798 MI Primary
Registered Nurse 163W00000X 4704356798 MI

Addresses

Primary practice location

8150 E 13 Mile Rd
Warren, MI 48093-8700

Mailing address

8150 E 13 Mile Rd
Warren, MI 48093-8700
Phone (586) 825-9700

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219003007 MI Practitioner - Nurse Practitioner 9234589110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians
Ismail B Sendi MD PCGroup PAC ID 4688674534, 72 clinicians

Practice addresses (Care Compare)

25401 Harper Ave
Saint Clair Shores, MI 48081-2240
Phone (586) 466-6912

8150 E 13 Mile Rd
New Oakland Child Adolescent and Family Cen
Warren, MI 48093-8700
Phone (800) 395-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Nov 16, 2023 Accepting new patients
County of Macomb CurrentSince Apr 14, 2024 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Nov 16, 2023 Accepting new patients
County of Macomb CurrentSince Apr 14, 2024 Accepting new patients
Pure Honey Group LLC Past Accepting new patients

Locations

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

6555 15 Mile Rd
Sterling Hts, MI 48312
Phone (586) 469-7792

8150 Old 13 Mile Rd
Warren, MI 48093
Phone (586) 558-7472

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1811632433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938700",
            "telephone_number": "586-825-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938700",
            "telephone_number": "586-825-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704356798",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704356798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.