Individual provider Active NPI

Gurjeet Singh

  • Psychiatric/Mental Health Nurse Practitioner
  • Saline, MI
National Provider Identifier
1851068829
Registry record updated Dec 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704338756 Issued in MI
Practice address
1235 Industrial Dr Ste 4
Saline, MI 48176-1742
Phone
(734) 944-8300
Fax
(248) 780-3805
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 4704338756 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704338756 MI Primary

Addresses

Primary practice location

1235 Industrial Dr Ste 4
Saline, MI 48176-1742

Mailing address

1235 Industrial Dr Ste 4
Saline, MI 48176-1742
Phone (734) 944-8300

Other practice location 1

455 E Eisenhower Pkwy Ste 300-1016
Ann Arbor, MI 48108-3356
Phone (248) 983-1070

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
I20230321002419 MI Practitioner - Nurse Practitioner 1759755390 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704338756MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Psychiatry, PLC CurrentSince Mar 20, 2023 Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Sep 6, 2023 Accepting new patients
Center for Family Psychiatry, PLC CurrentSince Mar 1, 2023 Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Sep 6, 2023 Accepting new patients
Ez Telepsych LLC Psychiatric/Mental Health PastSince Dec 17, 2023 Accepting new patients

Locations

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

650 Trade Centre Way
Ste 140
Portage, MI 49002
Phone (269) 492-6636

1235 Industrial Dr
Ste 4
Saline, MI 48176
Phone (734) 944-8300

20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 283-0500

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1851068829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 INDUSTRIAL DR STE 4",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761742",
            "telephone_number": "734-944-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDUSTRIAL DR STE 4",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761742",
            "telephone_number": "734-944-8300",
            "fax_number": "248-780-3805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 E Eisenhower Pkwy Ste 300-1016",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481083356",
            "country_code": "US",
            "telephone_number": "248-983-1070",
            "fax_number": "248-780-3805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "GURJEET",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704338756",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704338756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.