Healthcare Provider Details

I. General information

NPI: 1053172866
Provider Name (Legal Business Name): PSYCHPLUS ASSOCIATES OF MICHIGAN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 TOWN CENTER DR STE 141
DEARBORN MI
48126-2739
US

IV. Provider business mailing address

7877 WILLOW CHASE BLVD
HOUSTON TX
77070-5934
US

V. Phone/Fax

Practice location:
  • Phone: 832-869-4818
  • Fax: 832-241-2902
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: FAISAL TAI
Title or Position: CEO
Credential: MD
Phone: 832-506-7061