Active NPI
Raul Jaime Guerrero, M.D.
- Psychiatry Physician
- Grosse Pointe Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301035747
- Practice address
- 131 Kercheval Ave
Suite 390
Grosse Pointe Farms, MI 48236-3629 - Phone
- (313) 885-6400
- Fax
- (313) 885-6807
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301035747 | MI | Primary |
Addresses
Primary practice location
131 Kercheval Ave
Suite 390
Grosse Pointe Farms, MI 48236-3629
Mailing address
131 Kercheval Ave
Suite 390
Grosse Pointe Farms, MI 48236-3629
Phone (313) 885-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2886812 | Medicaid | MI |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-7732
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Services of Grosse Pointe | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Psychiatry | Current | Accepting new patients |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients |
Locations
131 Kercheval Ave
Ste 390
Grosse Pointe Farms, MI 48236
Phone (313) 885-0052
1640 Fort St
Ste D
Trenton, MI 48183
Phone (734) 391-3057
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482
Interoperability endpoints
- rguerrero60807@direct.hfhs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Wyandotte, MI
- NPI 1467687640
-
- Community/Retail Pharmacy
- Brownstown TWP, MI
- NPI 1356356984
-
- Psychiatry Physician
- Wyandotte, MI
- NPI 1366677551
-
- Psychologist
- Roseville, MI
- NPI 1639228000
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861412033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 KERCHEVAL AVE",
"address_2": "SUITE 390",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363629",
"telephone_number": "313-885-6400",
"fax_number": "313-885-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 KERCHEVAL AVE",
"address_2": "SUITE 390",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363629",
"telephone_number": "313-885-6400",
"fax_number": "313-885-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "RAUL",
"middle_name": "JAIME",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301035747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2886812",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.