Organization Active NPI

SBH Ventures LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dearborn Heights, MI
National Provider Identifier
1871100602
Registry record updated Jun 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SBH VENTURES LLC
Practice address
5734 Kingsbury St
Dearborn Heights, MI 48127-3118
Phone
(313) 258-2583
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2021

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

Authorized official

Name
Mrs. Sanaa Nadim Haidar, LPCNPI 1952730624
Title
Licensed Professional Counselor
Phone
(313) 258-2583

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5734 Kingsbury St
Dearborn Heights, MI 48127-3118

Mailing address

5734 Kingsbury St
Dearborn Heights, MI 48127-3118
Phone (313) 258-2583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106003449 MI Part B Supplier - Clinic/Group Practice 4082148515 Receives reassigned benefits from 1 practitioner
Practice locations: Allen Park, MI

National Provider Directory

National Provider Directory

Locations

14733 Champaign Rd
Allen Park, MI 48101
Phone (313) 258-2583

Practitioners & affiliated clinicians

Practitioners 1

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": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1871100602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 KINGSBURY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273118",
            "telephone_number": "313-258-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 KINGSBURY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273118",
            "telephone_number": "313-258-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBH VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "SANAA",
        "authorized_official_middle_name": "NADIM",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "313-258-2583",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.