PH PSYCHIATRY MD/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC
NPI 1619932670
Psychiatry & Neurology - Psychiatry in Southfield, MI
About Ph Psychiatry Md/providence Hospital And Medical Centers Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PH PSYCHIATRY MD/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC (NPI 1619932670) is a healthcare organization registered as a psychiatry in Southfield, Michigan and active in the NPI registry since April 2006. The organization lists Sarah Starkel, Credentailing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ph Psychiatry Md/providence Hospital And Medical Centers Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
391Medicare enrollment records show 391 clinicians reassign Medicare billing to Ph Psychiatry MD/Providence Hospital And Medical Centers Inc, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 173 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 391Source: 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 Ascension Providence Hospital's NPI number?
The NPI number for Ascension Providence Hospital is 1619932670. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is also known as Ph Psychiatry Md/Providence Hospital And Medical Centers Inc.
Where is Ascension Providence Hospital located?
Ascension Providence Hospital is located at 16001 W 9 Mile Rd Physician Billing Services, Southfield, MI 48075. The listed phone number is (248) 849-3000.
What is Ascension Providence Hospital's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Ascension Providence Hospital enrolled in Medicare?
Yes. Ascension Providence Hospital is registered in the Medicare PECOS enrollment system.
When is Ascension Providence Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ascension Providence Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 391 clinicians in 26 Medicare specialties reassign their Medicare billing to Ascension Providence Hospital. 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. The largest specialties are Nurse Practitioner (76), Internal Medicine (62) and Cardiovascular Disease (Cardiology) (44). Of these, 15 practice at this address and 173 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ascension Providence Hospital was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Ph Psychiatry Md/providence Hospital And Medical Centers Inc · NPI 1619932670
Psychiatry organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1619932670 (Entity type: Organization)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Legal business name:** Ascension Providence Hospital
- **Organization subpart:** No
- **Authorized official:** Sarah Starkel, CREDENTAILING COORDINATOR
## Practice location
- **Address:** 16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES, Southfield, MI 48075-4818
- **Phone:** (248) 849-3000 · **Fax:** (248) 849-2244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 391 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (76), Internal Medicine (62), Cardiovascular Disease (Cardiology) (44); 15 practice at this address and 173 within 10 miles; [full list](https://npiprofile.com/npi/1619932670/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2022
- **Other identifiers:** Other 260F364900 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1619932670) · Data from the CMS NPPES public registry.