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Organization

SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC

Active
Other names
Kalamazoo TMS & Behavioral Health, South Michigan Psychiatric Services
Organization subpart
No

Provider details

NPI number
Authorized official
RUQIYA TAREEN M.D. (MEDICAL DIRECTOR)
(269) 381-6950
Entity
Organization

Contact information

Practice address
5930 LOVERS LN STE 3, PORTAGE, MI 49002-1673
(269) 381-6950
(269) 381-6954
Mailing address
5930 LOVERS LN STE 3, PORTAGE, MI 49002-1673
(269) 381-6950
(866) 898-9349

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
4301078095
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598724122
NATIONAL IDENTIFICATION NUMBER
MI
01
1932194214
NATIONAL IDENTIFICATION NUMBER
MI
Enumeration date
05/03/2017
Last updated
02/18/2026
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