Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Geriatric Psychiatric Services PLLC

Organization Medical Physician Assistant · NPI 1104063239

Geriatric Psychiatric Services PLLC is a Medical Physician Assistant in Warren, Michigan. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28800 Ryan Rd Ste 320
Warren, MI 48092-4272
Phone: (586) 620-8100
Fax: (866) 227-7418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Medical Physician Assistant Taxonomy 363AM0700X
Adult Health Clinical Nurse Specialist Taxonomy 364SA2200X
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X

Record details

NPI number1104063239
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeriatric Psychiatric Services
Authorized official Robert Clemente — Manager · (586) 620-8100
Other names Nurse Practitioner Group
NPI enumeratedJanuary 12, 2009
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address39465 W 14 Mile Rd, Novi, MI 48377-1600

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