Granada Psychiatry L L C
NPI 1619728615 · Psychiatry Physician · Canton, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Granada Psychiatry L L C is a Psychiatry Physician organization in Canton, MI (NPI 1619728615).
Provider details
- NPI number
- 1619728615
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omar Waqhar, Authorized Official(734) 673-2937
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Frequently asked questions
- What is Granada Psychiatry L L C's NPI number?
- Granada Psychiatry L L C's National Provider Identifier (NPI) is 1619728615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granada Psychiatry L L C?
- Granada Psychiatry L L C is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Granada Psychiatry L L C located?
- Granada Psychiatry L L C's practice location on file with NPPES is 1262 Aziz Dr, Canton, MI 48188-5094.
- What is Granada Psychiatry L L C's phone number?
- The practice phone number listed in the NPPES registry for Granada Psychiatry L L C is (928) 785-7382.
- Does Granada Psychiatry L L C accept Medicare?
- Granada Psychiatry L L C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Granada Psychiatry L L C?
- The authorized official listed on Granada Psychiatry L L C's NPPES record is Omar Waqhar, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Granada Psychiatry L L C's NPI active?
- Yes — Granada Psychiatry L L C's NPI (1619728615) is active in the NPPES registry as of the last update on 2024-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.