Active NPI
Geriatric Psychiatric Services PLLC
- Social Worker
- Warren, MI
National Provider Identifier
1932346061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- GERIATRIC PSYCHIATRIC SERVICES PLLC
- Practice address
- 28800 Ryan Rd
Suite 320
Warren, MI 48092-4269 - Phone
- (586) 620-8100
- Fax
- (866) 227-7418
- NPI assigned
- Jan 12, 2009
- Last updated
- Oct 14, 2010
- Organization subpart
- Yes
- Parent organization
- GERIATRIC PSYCHIATRIC SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert A Clemente
- Title
- Manager
- Phone
- (586) 620-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
28800 Ryan Rd
Suite 320
Warren, MI 48092-4269
Mailing address
28800 Ryan Rd
Suite 320
Warren, MI 48092-4269
Phone (586) 620-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800F340290 | Other | MI | BCBS PIN NUMBER |
Other names 1
- Social Worker Group
National Provider Directory
National Provider Directory- Part of
- Geriatric Psych Serv PLLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Behavioral Care Solutions
- Psychiatry Physician
- Troy, MI
- NPI 1467773408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1932346061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28800 RYAN RD",
"address_2": "SUITE 320",
"city": "WARREN",
"state": "MI",
"postal_code": "480924269",
"telephone_number": "586-620-8100",
"fax_number": "866-227-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28800 RYAN RD",
"address_2": "SUITE 320",
"city": "WARREN",
"state": "MI",
"postal_code": "480924269",
"telephone_number": "586-620-8100",
"fax_number": "866-227-7418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC PSYCHIATRIC SERVICES PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GERIATRIC PSYCHIATRIC SERVICES",
"enumeration_date": "2009-01-12",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "CLEMENTE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "586-620-8100"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN NUMBER",
"identifier": "800F340290",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Social Worker Group",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.