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SOUTH MI PSYCHIATRIC SERVICES LLC NPI 1932635521


NPI Information

NPI: 1932635521
Provider Name: SOUTH MI PSYCHIATRIC SERVICES LLC

Other Name: KALAMAZOO TMS & BEHAVIORAL HEALTH

Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
5930 LOVERS LN STE 3
PORTAGE, MI
ZIP 49002
Phone: (269) 381-6950
Get Directions

SOUTH MI PSYCHIATRIC SERVICES LLC is a prescribing (medical) psychologist in Portage, MI. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. SOUTH MI PSYCHIATRIC SERVICES LLC NPI is 1932635521. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Kalamazoo Tms & Behavioral Health.

The provider's business location address is:

5930 LOVERS LN STE 3
PORTAGE, MI
ZIP 49002-673
Phone: (269) 381-6950
Fax: (269) 381-6954

The provider's authorized official is Ruqiya Tareen .
The authorized official title is Medical Director and has the following contact phone number (269) 381-6950.

The enumeration date for this NPI number is 5/3/2017 and was last updated on 5/3/2017.


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
1103TP0016XPsychologistPrescribing (Medical)4301078095MICHIGANYes

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
11598724122OTHERMICHIGANNATIONAL IDENTIFICATION NUMBER
21932194214OTHERMICHIGANNATIONAL IDENTIFICATION NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.