| Holistic Psychiatry | |
|
28800 Ryan Rd Ste 280 Warren MI 48092-4273 | |
| (586) 582-0500 | |
| (586) 834-2231 |
| Full Name | Holistic Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 28800 Ryan Rd Ste 280, Warren, Michigan |
| Authorized Official Name and Position | Bens Sandaire (OWNER) |
| Authorized Official Contact | 5865820500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psychiatry 28800 Ryan Rd Ste 280 Warren MI 48092-4273 Ph: (586) 582-0500 | Holistic Psychiatry 28800 Ryan Rd Ste 280 Warren MI 48092-4273 Ph: (586) 582-0500 |
| NPI Number | 1184395410 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 11/03/2021 |
| Certification Date | 10/01/2021 |
| Medicare PECOS PAC ID | 8123417532 |
|---|---|
| Medicare Enrollment ID | O20211104003165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184395410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Bens J Sandaire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417156332 PECOS PAC ID: 2365344751 Enrollment ID: I20081111000132 |
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