Healthcare Provider Details

I. General information

NPI: 1992670772
Provider Name (Legal Business Name): CAMBRIDGE PSYCHIATRY & BEHAVIORAL INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3611 CARPENTER ST STE 7
HAMTRAMCK MI
48212-2784
US

IV. Provider business mailing address

3611 CARPENTER ST STE 7
HAMTRAMCK MI
48212-2784
US

V. Phone/Fax

Practice location:
  • Phone: 313-733-8286
  • Fax: 313-826-0899
Mailing address:
  • Phone: 313-733-8286
  • Fax: 313-826-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: RIBHI HAZIN
Title or Position: OWNER
Credential: MD
Phone: 313-733-8286