Psych MD PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PSYCH MD PLLC

Practice address

3011 W Grand Blvd Ste 406
Detroit, MI 48202-3011

Phone

(248) 789-8130

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Natalie Sadik, MD

Title

Owner

Phone

(248) 789-8130

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sahar Tibah Mason, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1811363492
  NPD

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1912580382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD STE 406",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023011",
            "telephone_number": "248-789-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD STE 406",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023011",
            "telephone_number": "248-789-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SADIK",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-789-8130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psi Radiological Service Inc
• Psi Radiological Service Inc
• Psi Radiological Service, Inc
• Psi Radiologist Group, PC
• Demetrious K Psimoulis, M.D.
• Psychiatry and Behavioral Medicine Professionals
• Psychiatry and Behavioral Medicine Professionals
• Psychiatry and Behaviorial Medicine Professionials
• Psychology/Educational Consulting Servicee
• Kathleen Ptashnik, DDS

• Neurology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.