Individual provider Active NPI

Orlena B Merritt-Davis, MD

  • Psychiatry Physician
  • Clinton Township, MI
National Provider Identifier
1982632824
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301053687 Issued in MI
Practice address
42669 Garfield Rd
Clinton Township, MI 48038-5036
Phone
(586) 412-5321
Fax
(586) 412-5327
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 4301053687 MI Primary

Addresses

Primary practice location

42669 Garfield Rd
Clinton Township, MI 48038-5036

Mailing address

6549 Town Center Dr
Suite a
Clarkston, MI 48346-4824
Phone (248) 620-6400

Other practice location 1

2510 S Telegraph Rd Ste L292
Bloomfield Hills, MI 48302-0241
Phone (248) 876-0362

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
I20040309001292 MI Practitioner - Psychiatry 4284535766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians
Ismail B Sendi MD PCGroup PAC ID 4688674534, 72 clinicians

Practice addresses (Care Compare)

25401 Harper Ave
Saint Clair Shores, MI 48081-2240
Phone (586) 466-6912

42669 Garfield Rd
Clinton Township, MI 48038-1653
Phone (800) 395-3223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Feb 5, 2012 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Feb 5, 2012 Accepting new patients
County of Macomb CurrentSince Apr 24, 2023 Accepting new patients
County of Macomb CurrentSince Apr 24, 2023 Accepting new patients
PPPS III Past Accepting new patients

Locations

26522 Van Dyke Ave
Center Line, MI 48015
Phone (586) 759-4400

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

42669 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-5321

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

2300 Jolly Oak Rd
Okemos, MI 48864
Phone (517) 679-2050

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

8150 Old 13 Mile Rd
Warren, MI 48093
Phone (586) 558-7472

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1982632824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR",
            "address_2": "SUITE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "248-620-6400",
            "fax_number": "248-620-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42669 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385036",
            "telephone_number": "586-412-5321",
            "fax_number": "586-412-5327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 S Telegraph Rd Ste L292",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483020241",
            "country_code": "US",
            "telephone_number": "248-876-0362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT-DAVIS",
        "first_name": "ORLENA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301053687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.