Individual provider Active NPI

Susan Marie Stine, MD

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1881631372
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301072490 Issued in MI
Practice address
Jefferson Research Center
2761 E Jefferson
Detroit, MI 48207
Phone
(888) 362-7792
NPI assigned
Jun 1, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301072490 MI Primary

Addresses

Primary practice location

Jefferson Research Center
2761 E Jefferson
Detroit, MI 48207

Mailing address

3800 Woodward Ave
Suite 702
Detroit, MI 48201-2061

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120911000431 MI Practitioner - Psychiatry 9830347111 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Easterseals Morc Health Care, IncGroup PAC ID 9830141670, 129 clinicians

Practice addresses (Care Compare)

2399 E Walton Blvd
Auburn Hills, MI 48326-1955
Phone (248) 475-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301072490MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. Psychiatry CurrentSince Dec 8, 2024 Accepting new patients
University Physician Group CurrentSince Jun 1, 2012 Accepting new patients
University Physician Group CurrentSince Jun 1, 2012 Accepting new patients
University Physician Group Past Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

15600 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-8735

2761 E Jefferson Ave
Detroit, MI 48207
Phone (313) 993-3964

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881631372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WOODWARD AVE",
            "address_2": "SUITE 702",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JEFFERSON RESEARCH CENTER",
            "address_2": "2761 E JEFFERSON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "888-362-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301072490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.