Geriatric Psychiatric Services PLLC
NPI 1104063239 · Nurse Practitioner · Warren, MI
Provider details
- NPI number
- 1104063239
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Geriatric Psychiatric Services
- Organization subpart
- Yes
- Authorized official
- Robert Clemente, Manager(586) 620-8100
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Clinical Nurse Specialist364SA2200X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Nurse Practitioner Group
Registry dates
- Enumerated
- 2009-01-12
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.