GEROPSYCH GROUP LLC NPI 1306143235

NPI Information

NPI: 1306143235
Provider Name: GEROPSYCH GROUP LLC
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
32270 TELEGRAPH RD STE 240
BINGHAM FARMS, MI
ZIP 48025
Phone: (248) 593-1717
Get Directions

GEROPSYCH GROUP LLC is a geriatric psychiatry psychiatry neurology in Bingham Farms, MI. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. GEROPSYCH GROUP LLC NPI is 1306143235. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32270 TELEGRAPH RD STE 240
BINGHAM FARMS, MI
ZIP 48025-457
Phone: (248) 593-1717
Fax: (248) 593-1711

The provider's authorized official is Manuel Dumlao .
The authorized official title is Owner and has the following contact phone number (248) 593-1717.

The enumeration date for this NPI number is 2/11/2011 and was last updated on 2/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	MD047459	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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