Center for Individualized Medicine PLLC
NPI 1760814289 · Child & Adolescent Psychiatry Physician · Wyandotte, MI
Center for Individualized Medicine PLLC is a Child & Adolescent Psychiatry Physician organization in Wyandotte, MI (NPI 1760814289).
Provider details
- NPI number
- 1760814289
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Surjit Mahal, Owner(734) 324-8000
- License
- 4301046425 (MI)
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
12 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
- 2013-08-07
- Last updated
- 2013-08-07
Frequently asked questions
- What is Center for Individualized Medicine PLLC's NPI number?
- Center for Individualized Medicine PLLC's National Provider Identifier (NPI) is 1760814289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Individualized Medicine PLLC?
- Center for Individualized Medicine PLLC is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Center for Individualized Medicine PLLC located?
- Center for Individualized Medicine PLLC's practice location on file with NPPES is 1404 Biddle Ave, Wyandotte, MI 48192-3706.
- What is Center for Individualized Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Center for Individualized Medicine PLLC is (734) 624-8000.
- Who is the authorized official for Center for Individualized Medicine PLLC?
- The authorized official listed on Center for Individualized Medicine PLLC's NPPES record is Surjit Mahal, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Individualized Medicine PLLC's NPI active?
- Yes — Center for Individualized Medicine PLLC's NPI (1760814289) is active in the NPPES registry as of the last update on 2013-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.