1114219227 NPI number — SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC

Table of content: (NPI 1114219227)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114219227 NPI number — SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114219227
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5930 LOVERS LN
Provider Second Line Business Mailing Address:
THIRD FLOOR
Provider Business Mailing Address City Name:
PORTAGE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49002-1673
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
269-381-6950
Provider Business Mailing Address Fax Number:
269-381-6954

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5390 LOVERS LN
Provider Second Line Business Practice Location Address:
THIRD FLOOR
Provider Business Practice Location Address City Name:
PORTAGE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-381-6950
Provider Business Practice Location Address Fax Number:
269-381-6954
Provider Enumeration Date:
05/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
TAREEN
Authorized Official First Name:
RUQIYA
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
269-381-6950

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  4301078095 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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