Organization Active NPI

Alliance Behavioral Health Specialists PLLC

  • Psychiatry Physician
  • Novi, MI
National Provider Identifier
1992269690
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ALLIANCE BEHAVIORAL HEALTH SPECIALISTS PLLC
Practice address
43155 Main St Ste 2316
Novi, MI 48375-1781
Phone
(734) 673-9522
NPI assigned
Jan 27, 2019
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Nazia S Adil, MDNPI 1861696882
Title
President
Phone
(734) 673-9522

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
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

43155 Main St Ste 2316
Novi, MI 48375-1781

Mailing address

43155 Main St Ste 2316
Novi, MI 48375-1781
Phone (734) 673-9522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190312002684 MI Part B Supplier - Clinic/Group Practice 4880934793 Receives reassigned benefits from 4 practitioners
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Locations

43155 Main St
Ste 2316
Novi, MI 48375
Phone (248) 880-0162

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": "1548547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1992269690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43155 MAIN ST STE 2316",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751781",
            "telephone_number": "734-673-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43155 MAIN ST STE 2316",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751781",
            "telephone_number": "734-673-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE BEHAVIORAL HEALTH SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-27",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "ADIL",
        "authorized_official_first_name": "NAZIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-673-9522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.