Provider Demographics
NPI:1871299412
Name:ALESSI PSYCHIATRY AND LIFE CENTER
Entity type:Organization
Organization Name:ALESSI PSYCHIATRY AND LIFE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALESSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-222-6222
Mailing Address - Street 1:510 S MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3837
Mailing Address - Country:US
Mailing Address - Phone:734-222-6222
Mailing Address - Fax:734-222-6224
Practice Address - Street 1:510 S MAPLE RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3837
Practice Address - Country:US
Practice Address - Phone:734-222-6222
Practice Address - Fax:734-222-6224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty