Healthcare Provider Details

I. General information

NPI: 1902924665
Provider Name (Legal Business Name): TAMIKA JANELL HOUGHTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 OAK ST
NILES MI
49120-3738
US

IV. Provider business mailing address

1951 OAK ST
NILES MI
49120-3738
US

V. Phone/Fax

Practice location:
  • Phone: 269-262-4749
  • Fax: 260-373-8034
Mailing address:
  • Phone: 269-262-4749
  • Fax: 269-262-4739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01065194A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: