Geriatric Psychiatric Services PLLC
in Troy, MI. Organization (NPI-2).
NPI number1801035902
StatusActive
Last updated in NPPESFeb 12, 2009
Details
- NPI
- 1801035902
- Entity type
- Organization (NPI-2)
- Legal business name
- Geriatric Psychiatric Services PLLC
- Organization subpart
- Yes
- Enumeration date
- Feb 12, 2009
- Last updated
- Feb 12, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0805X | – | – | Yes |
Other names
- Geriatric Psychiatric Services In MD Group (Other Name)
Practice location
363 W Big Beaver RdSuite 200
Troy, MI 48084-5220
Phone 248-597-4515 · Fax 248-597-4533
Mailing address
30781 Stephenson HwyMadison Hts, MI 48071-1618
Phone 248-583-8922 · Fax 248-583-8969
Authorized official
Robert Clemente
Manager
2486199771
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