MEDICARE: ENGAGE PSYCHIATRY & PSYCHOTHERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1174311435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENGAGE PSYCHIATRY & PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	240 MARTIN ST STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-3352
Country	:	US
Telephone Number	:	734-743-1512
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 MARTIN ST STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-3352
Country	:	US
Telephone Number	:	734-743-1512
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	CLAUDIA CAO
Credential	:	MD
Telephone Number	:	734-743-1512

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	12/01/2025

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