Gary Lee Graham, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704197715 Issued in MI

Practice address

34290 Ford Rd
Westland, MI 48185-3051

Phone

(734) 324-8326

NPI assigned

Feb 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Wayne State University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Michigan Community Mental Health SystemGroup PAC ID 8426046855, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• West Michigan Community Mental Health System

  • Mental Health Counselor
  • Ludington, MI
  • NPI 1275646309
  Medicare reassignment Care Compare group NPD
• Asnaa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1346637758
  Medicare reassignment NPD
• West Michigan Community Mental Health System

  • Primary Care Nurse Practitioner
  • Ludington, MI
  • NPI 1376017889
  NPD
• Embrace Home Health Physicians

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1598779282

  Nurse Practitioner

  NPD (past)
• Embrace Home Physicians PLLC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1548704778
  NPD (past)
• Make Your Turn LLC

  • Clinical Social Worker
  • Monroe, MI
  • NPI 1255175360

  Psychiatric/Mental Health

  NPD (past)
• Team Mental Health Services Inc.

  • Dentist
  • Detroit, MI
  • NPI 1306383252
  NPD (past)

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1992129704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34290 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853051",
            "telephone_number": "734-324-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34290 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853051",
            "telephone_number": "734-324-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17321 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482193132",
            "country_code": "US",
            "telephone_number": "313-531-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481612265",
            "country_code": "US",
            "telephone_number": "734-344-7432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GARY",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-13",
        "last_updated": "2024-01-09",
        "certification_date": "2021-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704197715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha T Gore, LMSW-C
• Stacy Lynn Gorski
• Robyn Gothelf, LMSW, EDM
• Yelena Gouseinov, LMSW
• Sondra Lea Grafmiller
• Joanne Celia Gray
• Great Lakes Administrative Services LLC
• Greater Detroit Physical Therapy
• Greater Detroit Physical Therapy & Rehabilitation PC
• Greater Metropolitan Services LLC

• Psychiatric/Mental Health Nurse Practitioner in Westland, MI
• Providers in Westland, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.