Fulfilled Care

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FULFILLED CARE

Practice address

32000 Northwestern Hwy Ste 165
Farmington Hills, MI 48334-1568

Phone

(248) 289-8874

Fax

(351) 207-4647

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Jimmy Metellus, M.D.NPI 1184187742

Title

Owner

Phone

(248) 289-8874

Specialties & licenses 1

Addresses

Other names 1

• Fulfilled Care Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Metellus, MD

  • Psychiatry Physician
  • Farmington Hills, MI
  • NPI 1184187742
  Medicare reassignment NPD Authorized official
• Alicia Martinez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Toledo, OH
  • NPI 1821648817

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1881389260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32000 NORTHWESTERN HWY STE 165",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341568",
            "telephone_number": "248-289-8874",
            "fax_number": "351-207-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32000 NORTHWESTERN HWY STE 165",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341568",
            "telephone_number": "248-289-8874",
            "fax_number": "351-207-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULFILLED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "METELLUS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-289-8874",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulfilled Care Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laviza Fuentes
• Saraye Fuentes
• Tanya Fuggs, BT
• Sharmane Zaneta Fuimaono
• Kessiah Fulcher-Daniels
• Torri Fulford
• Caeley Fulk
• Kayla Fullen
• Jennifer Fullenwider
• Aseana Fuller-Ragland

• Psychiatry Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.