ADVANCED SLEEP DISORDER CENTER LLC NPI 1114095510

NPI Information

  • NPI: 1114095510
  • Provider Name: ADVANCED SLEEP DISORDER CENTER LLC
  • Classification: Psychiatry & Neurology - 2084S0012X
  • Specialization: Sleep Medicine
  • Entity Type: Organization
  • Address: 1159 E MICHIGAN AVE
    SUITE D
    YPSILANTI, MI
    ZIP 48198
  • Phone: (734) 480-4250

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NPI Details

ADVANCED SLEEP DISORDER CENTER LLC is a sleep medicine psychiatry neurology in Ypsilanti, MI. The provider is a Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. ADVANCED SLEEP DISORDER CENTER LLC NPI is 1114095510. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1159 E MICHIGAN AVE
SUITE D
YPSILANTI, MI
ZIP 48198-807
Phone: (734) 480-4250
Fax: (734) 480-4251

The provider's authorized official is Kenneth J Phillips .
The authorized official title is Manager and has the following contact phone number (248) 851-1264.

The enumeration date for this NPI number is 12/1/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084S0012XPsychiatry & NeurologySleep MedicineGA405226MICHIGANYes

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
14618122MEDICAIDMICHIGAN

What is NPI?

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This page was last updated on: 11/21/2025

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