CONSCIOUS MIND PSYCHIATRY OF MICHIGAN
NPI 1053284737
Nurse Practitioner - Psychiatric/Mental Health in Gibraltar, MI

Active since September 29, 2025
13938 MIDDLE GIBRALTAR RD, GIBRALTAR, MI 48173(313) 484-3211 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Conscious Mind Psychiatry Of Michigan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSCIOUS MIND PSYCHIATRY OF MICHIGAN (NPI 1053284737), doing business as Conscious Mind Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Gibraltar, Michigan and active in the NPI registry since September 2025. The organization lists Robert Buckner, Owner, as its authorized official.

NPPES Registry Identity

NPI1053284737
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCONSCIOUS MIND PSYCHIATRY OF MICHIGAN
Location Address13938 MIDDLE GIBRALTAR RDGibraltar, MI 48173-9711
Mailing Address8778 Thorntree DrGrosse Ile, MI 48138-1531
Organization SubpartNo
Authorized OfficialRobert BucknerOwner · (313) 484-3211
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 28, 2025
✔ NPI 1053284737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
13938 MIDDLE GIBRALTAR RD, Gibraltar, MI 48173

Other Names 1

Doing Business AsConscious Mind Psychiatry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conscious Mind Psychiatry Of Michigan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Conscious Mind Psychiatry Of Michigan, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1760142699
13938 MIDDLE GIBRALTAR RD
Gibraltar, MI 48173
(313) 484-3211
✔ PECOS✔ Accepts MedicareSame address
Psychologist Billing Independently
NPI 1407290711
13938 M GIBRALTAR RD
Gibraltar, MI 48173
(313) 484-3211
Same address
Nurse Practitioner
NPI 1518708874
20873 MILBANK ST
Woodhaven, MI 48183
(313) 932-7661
✔ PECOS✔ Accepts Medicare2.4 mi
Clinical Social Worker
NPI 1104428408
8765 LEWIS AVE
Temperance, MI 48182
(734) 847-3802
✔ PECOS29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conscious Mind Psychiatry Of Michigan's NPI number?

The NPI number for Conscious Mind Psychiatry Of Michigan is 1053284737. It was assigned to this organization in the NPPES registry on September 29, 2025. The provider is doing business as Conscious Mind Psychiatry.

Where is Conscious Mind Psychiatry Of Michigan located?

Conscious Mind Psychiatry Of Michigan is located at 13938 Middle Gibraltar Rd, Gibraltar, MI 48173. The listed phone number is (313) 484-3211.

What is Conscious Mind Psychiatry Of Michigan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Conscious Mind Psychiatry Of Michigan enrolled in Medicare?

Yes. Conscious Mind Psychiatry Of Michigan is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conscious Mind Psychiatry Of Michigan?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Conscious Mind Psychiatry Of Michigan, in Clinical Social Worker, Nurse Practitioner and Psychologist Billing Independently. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Conscious Mind Psychiatry Of Michigan accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Conscious Mind Psychiatry Of Michigan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Conscious Mind Psychiatry Of Michigan was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.