NPIMap

Organization Active NPI

South Michigan Psychiatric Services LLC

Doing business as South Michigan Psychiatric Services

  • Prescribing (Medical) Psychologist
  • Portage, MI
National Provider Identifier
1932635521
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
4301078095 Issued in MI
Legal business name
SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC
Doing business as
South Michigan Psychiatric Services
Practice address
5930 Lovers LN Ste 3
Portage, MI 49002-1673
Phone
(269) 381-6950
Fax
(269) 381-6954
NPI assigned
May 3, 2017
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Ruqiya Tareen, M.D.NPI 1598724122
Title
Medical Director
Phone
(269) 381-6950

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
Prescribing (Medical) Psychologist 103TP0016X 4301078095 MI Primary

Addresses

Primary practice location

5930 Lovers LN Ste 3
Portage, MI 49002-1673

Mailing address

5930 Lovers LN Ste 3
Portage, MI 49002-1673
Phone (269) 381-6950

Other identifiers 1

IdentifierTypeStateIssuer
1598724122OtherMINATIONAL IDENTIFICATION NUMBER

Other names 2

  • South Michigan Psychiatric Services Doing business as
  • Kalamazoo TMS & Behavioral Health Other name

National Provider Directory

National Provider Directory

Locations

5930 Lovers Ln
Ste 3
Portage, MI 49002
Phone (269) 381-6950

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1932635521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 LOVERS LN STE 3",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021673",
            "telephone_number": "269-381-6950",
            "fax_number": "866-898-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 LOVERS LN STE 3",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021673",
            "telephone_number": "269-381-6950",
            "fax_number": "269-381-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "TAREEN",
        "authorized_official_first_name": "RUQIYA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "269-381-6950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MI",
            "license": "4301078095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL IDENTIFICATION NUMBER",
            "identifier": "1598724122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Michigan Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kalamazoo TMS & Behavioral Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kalamazoo TMS & Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.