| Iamerica Behavioral & Mental Health | |
|
19445 W Warren Ave Detroit MI 48228-3361 | |
| (313) 307-0088 | |
| (313) 381-2235 |
| Full Name | Iamerica Behavioral & Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 19445 W Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Rabia Latif (PRESIDENT) |
| Authorized Official Contact | 7342624386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iamerica Behavioral & Mental Health 19445 W Warren Ave Detroit MI 48228-3361 Ph: (313) 558-9397 | Iamerica Behavioral & Mental Health 19445 W Warren Ave Detroit MI 48228-3361 Ph: (313) 307-0088 |
| NPI Number | 1346637758 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Medicare PECOS PAC ID | 9931429255 |
|---|---|
| Medicare Enrollment ID | O20150527002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346637758 | NPI | - | NPPES |
| Provider Name | Nihal Saran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780790071 PECOS PAC ID: 6305737339 Enrollment ID: I20040322000203 |
| Provider Name | Maimoona Hakim Husain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487731816 PECOS PAC ID: 5496794166 Enrollment ID: I20050502000992 |
| Provider Name | Lisa D Yelder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790834570 PECOS PAC ID: 6507969847 Enrollment ID: I20070307000361 |
| Provider Name | Sally Harrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912096660 PECOS PAC ID: 2668547266 Enrollment ID: I20080815000540 |
| Provider Name | Marilyn B Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568797348 PECOS PAC ID: 2769674399 Enrollment ID: I20101014000224 |
| Provider Name | Labiba Radwan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932256351 PECOS PAC ID: 5294968418 Enrollment ID: I20140423001810 |
| Provider Name | Gary L Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992129704 PECOS PAC ID: 1456674852 Enrollment ID: I20141215002370 |
| Provider Name | Rabia Latif |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1417297987 PECOS PAC ID: 2961654116 Enrollment ID: I20150527002157 |
| Provider Name | Charletta Ann Dennis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881982973 PECOS PAC ID: 6002049640 Enrollment ID: I20150811004778 |
| Provider Name | Cherie D Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609828649 PECOS PAC ID: 3971895608 Enrollment ID: I20160715001666 |
| Provider Name | Benjamin E Burns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356605984 PECOS PAC ID: 4082914999 Enrollment ID: I20161018001971 |
| Provider Name | Poonam R Sripada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174889539 PECOS PAC ID: 6103106976 Enrollment ID: I20161213002317 |
| Provider Name | Frank S Jacob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871719690 PECOS PAC ID: 8628340940 Enrollment ID: I20170822002394 |
| Provider Name | Abdul Wasi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861801367 PECOS PAC ID: 8224397831 Enrollment ID: I20180104001683 |
| Provider Name | Tia L Gitgood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457864613 PECOS PAC ID: 6709145964 Enrollment ID: I20180115000744 |
| Provider Name | Murtadha Abdulhussein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316280738 PECOS PAC ID: 0547529752 Enrollment ID: I20180116002018 |
| Provider Name | Kinga Hamerski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952784191 PECOS PAC ID: 4688962574 Enrollment ID: I20190702000044 |
| Provider Name | Marla J Edwards-wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154974939 PECOS PAC ID: 6901132828 Enrollment ID: I20190730001586 |
| Provider Name | Alan James Carotta |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1740601194 PECOS PAC ID: 8426384355 Enrollment ID: I20190730001717 |
| Provider Name | Charles A Keeling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922428259 PECOS PAC ID: 7315273224 Enrollment ID: I20190731000607 |
| Provider Name | Abdelrahman Abdelaziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871960930 PECOS PAC ID: 9931453032 Enrollment ID: I20191024002601 |
| Provider Name | Donna M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164058228 PECOS PAC ID: 3072943802 Enrollment ID: I20200420001032 |
| Provider Name | Pamela Ann Pemberton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497399794 PECOS PAC ID: 7810327632 Enrollment ID: I20200420001316 |
| Provider Name | Noorayne E Chevalier |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1962705277 PECOS PAC ID: 1850722497 Enrollment ID: I20200514000751 |
| Provider Name | David Mark Madison |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1497269609 PECOS PAC ID: 2466873203 Enrollment ID: I20200602002403 |
| Provider Name | Gary Thomas Carone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073876603 PECOS PAC ID: 6406093111 Enrollment ID: I20200717000338 |
| Provider Name | Jian Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235756412 PECOS PAC ID: 4587088208 Enrollment ID: I20200728000511 |
| Provider Name | Gauhar Khurshid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295847671 PECOS PAC ID: 3274814256 Enrollment ID: I20200826001196 |
| Provider Name | Nana Siriboe Achampong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619389897 PECOS PAC ID: 2668890591 Enrollment ID: I20200909002475 |
| Provider Name | Theyazan Kohaif |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881053874 PECOS PAC ID: 5092186452 Enrollment ID: I20230121000072 |
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