Alliance Behavioral Health Specialists PLLC
Organization Active NPI Psychiatry Physician · Novi, MI
NPI 1992269690 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1992269690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 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
- Organization subpart
- No
Authorized official
- Name
- Nazia S Adil, MD
- Title
- President
- Phone
- (734) 673-9522
Practitioners 5
-
Nazia Sadaf Adil, MD
-
Mark Marlin Bahoura, M.D.
-
Danny Lisbeth Diaz, PMHNP-BC
-
Erin Marie Randolph, LMSW
-
Sally Thrasher, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190312002684 | MI | Part B Supplier - Clinic/Group Practice | 4880934793 |
Receives reassigned benefits from 4 practitioners Practice locations: Novi, MI |
National Provider Directory
Locations
43155 Main St
Ste 2316
Novi, MI 48375
Phone (248) 880-0162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
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
Other providers in Novi, MI
- Wendy Allen
- Allergy & Asthma Center of Michigan, P.C.
- Allergy & Asthma Management Center PC
- Christie Alles
- Samira Alley
- Alliance Physician Services of Michigan, P.C.
- Montia R Allison
- Presley Allison
- Trillium J Allison
- Cathy Allore
All providers in Novi, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.