| Ipsychiatry | |
|
28800 Ryan Rd Suite 320 Warren MI 48092-4272 | |
| (586) 582-0500 | |
| (586) 834-2231 |
| Full Name | Ipsychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 28800 Ryan Rd, Warren, Michigan |
| Authorized Official Name and Position | Karim Altabba (PRESIDENT) |
| Authorized Official Contact | 5865820500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipsychiatry 28800 Ryan Rd Suite 320 Warren MI 48092-4272 Ph: (586) 582-0500 | Ipsychiatry 28800 Ryan Rd Suite 320 Warren MI 48092-4272 Ph: (586) 582-0500 |
| NPI Number | 1568712370 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 03/29/2016 |
| Medicare PECOS PAC ID | 8921232158 |
|---|---|
| Medicare Enrollment ID | O20131001000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568712370 | NPI | - | NPPES |
| Provider Name | John W Head |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750393690 PECOS PAC ID: 6305833534 Enrollment ID: I20061010000043 |
| Provider Name | Bens J Sandaire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417156332 PECOS PAC ID: 2365344751 Enrollment ID: I20081111000132 |
| Provider Name | Julia G Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568773851 PECOS PAC ID: 7214122746 Enrollment ID: I20140522001315 |
| Provider Name | Mara J Lipkowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770809493 PECOS PAC ID: 7012130750 Enrollment ID: I20140527000699 |
| Provider Name | Yasmin Keshavjee |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1477920510 PECOS PAC ID: 1153630058 Enrollment ID: I20151015001291 |
| Provider Name | Melissa Wummel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982055943 PECOS PAC ID: 5991049819 Enrollment ID: I20181204002542 |
| Provider Name | Jessica Shantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790255248 PECOS PAC ID: 1759759186 Enrollment ID: I20221116001196 |
| Provider Name | Sherrina Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942915236 PECOS PAC ID: 9537534755 Enrollment ID: I20230331000441 |
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