Pure Psychiatry of Michigan PLLC
Organization Active NPI Physician Assistant · Wayne, MI
NPI 1831701671 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1831701671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 363A00000X
- Legal business name
- PURE PSYCHIATRY OF MICHIGAN PLLC
- Practice address
- 34841 Veterans Plaza
Wayne, MI 48184-1733 - Phone
- (313) 292-7640
- Fax
- (313) 292-9270
- NPI assigned
- Aug 22, 2020
- Organization subpart
- No
Authorized official
- Name
- Sarang K Patel
- Title
- Owner
- Phone
- (747) 208-5003
Practitioners 199
-
Eriko Apriliando, NP
-
Deena Debutts Baty, MSW, LMSW
-
Renea Rishmawi Bayouk, MA, LPC
-
Patricia A Bowersox, M.A. AND M.S.W.
-
Michele L Boyer, LMSW
-
Alan Burnham, PMHNP-BC
-
Shanea Carver, NP
-
Jade Cox, LMSW, CAADC
-
Aaron Deen, CNP
-
Sabrina Esmail, RN
-
Julie Jane Frei, LMSW
-
Daniel Alfonso Grasso, DNP, APRN, PMHNP-BC
-
Jeffery Hackett, MA, LPC
-
Lori Stephanie Harrison, M.A.
-
Holly Marie Hendershot, APRN
-
Danielle Hoover, LMSW, QIDP
-
Morgan Horton, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201103002311 | MI | Part B Supplier - Clinic/Group Practice | 1254741283 |
Receives reassigned benefits from 157 practitioners Practice locations: Grand Rapids, MI; Wyandotte, MI; Wixom, MI; Wayne, MI; Troy, MI; Southfield, MI; Shelby Township, MI; Plymouth, MI… |
| O20250123002342 | OH | Part B Supplier - Clinic/Group Practice | 1254741283 |
Receives reassigned benefits from 12 practitioners Practice locations: Sandusky, OH; Toledo, OH |
National Provider Directory
Locations
2755 Carpenter Rd
Ste 3SE
Ann Arbor, MI 48108
Phone (734) 548-6099
5715 Bella Rosa Blvd
Ste 200
Clarkston, MI 48348
Phone (248) 657-4639
39600 Garfield Rd
Ste F
Clinton Twp, MI 48038
Phone (586) 307-6566
5111 Auto Club Dr
Ste 101
Dearborn, MI 48126
Phone (810) 275-9153
1429 Flushing Rd
#B
Flushing, MI 48433
Phone (810) 380-5060
1429 Flushing Rd
#C
Flushing, MI 48433
3031 Commerce Dr
Ste A
Fort Gratiot, MI 48059
Phone (810) 292-0557
721 3 Mile Rd NW
Ste 150
Grand Rapids, MI 49544
1803 Whites Rd
Ste 2
Kalamazoo, MI 49008
Phone (269) 238-1990
5123 W St Joe Hwy
Ste 205
Lansing, MI 48917
Phone (517) 327-0360
3751 N Dixie Hwy
Monroe, MI 48162
Phone (734) 241-5200
2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358
9401 General Dr
Ste J
Plymouth, MI 48170
Phone (734) 335-1336
47710 Van Dyke Ave
Ste 150
Shelby Township, MI 48317
650 E Big Beaver Rd
Ste C
Troy, MI 48083
Phone (248) 781-8921
28345 Beck Rd
Ste 110
Wixom, MI 48393
Phone (248) 274-4560
310 E Boalt St
Ste E
Sandusky, OH 44870
Phone (419) 370-0880
3454 Oak Alley Ct
Ste 308
Toledo, OH 43606
Phone (419) 442-0800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | Yes | ||
| Medical Physician Assistant |
363AM0700X |
Addresses
Primary practice location
34841 Veterans Plaza
Wayne, MI 48184-1733
Mailing address
34841 Veterans Plaza
Wayne, MI 48184-1733
Phone (313) 292-7640
Other practice location 1
1005 Stratford Pl
Alliance, OH 44601-3601
Phone (419) 442-0800
Other providers in Wayne, MI
- Premier Home Health Services LLC
- Saranda Pride-Mumford
- Veronica Pritchett-Pentecost
- Professional Outreach Counseling Services PC
- Chandrakant H Pujara
- Pure Psychiatry of Michigan PLLC
- Princess Purite
- Christopher Pyrkosz
- Jie Qiu
- Kerrily Quay
All providers in Wayne, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.