Provider Demographics
NPI:1306252531
Name:ADVANCED PSYCHIATRIC SERVICES PLLC
Entity type:Organization
Organization Name:ADVANCED PSYCHIATRIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALMAAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-302-9071
Mailing Address - Street 1:44060 WOODWARD AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5040
Mailing Address - Country:US
Mailing Address - Phone:248-957-9184
Mailing Address - Fax:248-957-9185
Practice Address - Street 1:44060 WOODWARD AVE STE 200
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5040
Practice Address - Country:US
Practice Address - Phone:248-957-9184
Practice Address - Fax:248-957-9185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010810912084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1467418467Medicaid