Geriatric Psychiatric Services Pllc
Geriatric Psychiatric Services Pllc is a healthcare organization registered as Nurse Practitioner in Warren, MI, holding Type 2 (organization) NPI 1104063239 since 2009. The authorized official on file is Robert Clemente, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1104063239 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Geriatric Psychiatric Services Pllc |
| Other name | <Unavail> |
| Parent organization | Geriatric Psychiatric Services |
| Practice address | 28800 RYAN RD, SUITE 320, Warren, MI, 48092 |
| Phone | 5866208100 |
| Fax | 8662277418 |
| Enumeration date | 2009-01-12 |
| Last updated in NPPES | 2024-07-25 |
Authorized official
| Name | Robert Clemente |
|---|---|
| Title | Manager |
| Phone | 5866208100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363AM0700X | Medical Physician Assistant | Secondary | — | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | Secondary | — | — |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500F339520 | Other | MI | BCBS PIN NUMBER |
Copy-ready billing details
Provider: Geriatric Psychiatric Services Pllc NPI: 1104063239 Taxonomy: 363L00000X (Nurse Practitioner) Address: 28800 RYAN RD, SUITE 320, Warren, MI, 48092
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710967815 | Gary Gilyard | Individual | Orthopaedic Surgery Physician | Warren, MI |
| 1568404960 | Gary G. Gilyard MD PC | Organization | Orthopaedic Surgery Physician | Warren, MI |
| 1740219609 | Geertruida Roer | Individual | Gerontology Nurse Practitioner | Warren, MI |
| 1588684229 | Marsha Arthur | Individual | Physician Assistant | Warren, MI |
| 1205946241 | Primary Medical Equipment, Inc | Organization | Durable Medical Equipment & Medical Supplies | Warren, MI |
| 1457435109 | Dr L Reynolds Associates PC | Organization | Specialist | Warren, MI |
| 1932279874 | Stephen Dewitt | Individual | Internal Medicine Physician | Warren, MI |
| 1962552158 | Mamoun Dabbagh | Individual | Psychiatry Physician | Warren, MI |
Verify this record
Cross-check NPI 1104063239 against the authoritative CMS record: view Geriatric Psychiatric Services Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Geriatric Psychiatric Services Pllc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-25.