Organization
SOUTH MICHIGAN PSYCHIATRIC SERVICES LLC
Active
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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