# GERIATRIC PSYCHIATRIC SERVICES PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467492173
- **Authorized official:** ROBERT A CLEMENTE (MANAGER)
- **Authorized official phone:** (586) 620-8100

## Contact information

- **Practice address:** 1715 INDIAN WOOD CIR STE 200, MAUMEE, OH 43537-4055
- **Practice address phone:** (877) 906-9699
- **Mailing address:** 39465 W 14 MILE RD, NOVI, MI 48377-1600
- **Mailing address phone:** (248) 859-3900
- **Mailing address fax:** (888) 483-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | — | NULL | Yes |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 07/01/2025