Sunrise Behavioral Health Service LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SUNRISE BEHAVIORAL HEALTH SERVICE LLC

Practice address

34764 Dequindre Rd
Sterling Heights, MI 48310-5279

Phone

(856) 493-2980

Fax

(888) 573-5557

NPI assigned

May 20, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Raheel Siddiqui

Title

Administrator

Phone

(856) 493-2980

Specialties & licenses 5

Addresses

Other names 1

• BLUE MIND CARE STERLING HEIGHTS MICHIGAN Doing business as

Practitioners 1

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

• Ayesha Siddiqui, BEHAVIOR TECHNICIAN

  • Behavior Technician
  • Philadelphia, PA
  • NPI 1902522212
  NPD

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1962294462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34764 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105279",
            "telephone_number": "856-493-2980",
            "fax_number": "888-573-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34764 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105279",
            "telephone_number": "856-493-2980",
            "fax_number": "888-573-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE BEHAVIORAL HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "RAHEEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-493-2980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE MIND CARE STERLING HEIGHTS MICHIGAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine M Summers, PTA
• Shobana Sundaram, M.D.
• Kyle Wayne Sundblad, DPM
• Sundus Marogy DDS PLLC
• Sundus Marogy Hy LLC
• Sunrise Chiropractic PLLC
• Sunshine Pharmacy
• Superior Home Health Services of Michigan, Inc
• Sure Medical Equipment LLC
• Cindy Lou Surratt

• Psychiatry Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.