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ADVANCED PSYCHIATRIC MEDICINE P.C. NPI 1215075460


NPI Information

NPI: 1215075460
Provider Name: ADVANCED PSYCHIATRIC MEDICINE, P.C.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 23D0368053

Address:
29240 BUCKINGHAM ST
SUITE 8A
LIVONIA, MI
ZIP 48154
Phone: (248) 299-4211
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ADVANCED PSYCHIATRIC MEDICINE, P.C. is a mental health (including community mental health center) clinic center in Livonia, MI. ADVANCED PSYCHIATRIC MEDICINE, P.C. NPI is 1215075460. The provider is registered as an organization entity type.

The provider's business location address is:

29240 BUCKINGHAM ST
SUITE 8A
LIVONIA, MI
ZIP 48154-575
Phone: (248) 299-4211
Fax: (248) 299-2392

The provider's authorized official is Jorge S Zuniga .
The authorized official title is President and has the following contact phone number (248) 299-4211.

The CLIA number assigned to this NPI record is 23D0368053 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)033694MICHIGANYes

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: 4/28/2024

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