JUDSON CENTER, INC. (NPI# 1033264890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033264890 |
| Entity Type | Organization |
| Organization Name | JUDSON CENTER, INC. |
| Other Organization Name | DETROIT BAPTIST CHILDREN'S HOME |
| Practice Address |
4410 W 13 Mile Rd Royal Oak MI 48073-6515 |
| Practice Telephone | 2485494339 |
| Practice Fax Number | 2485498955 |
| Mailing Telephone | 2485494339 |
| Mailing Fax Number | 2485498955 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2014-02-26 |
| Authorized Official Name | MS. LAURA HOUT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2485494339 |
| Authorized Official Credential | MS, LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 6772767 | MI | Agencies |
| N | 251B00000X | Case Management | 6359520 | MI | Agencies |
| N | 251C00000X | Day Training, Developmentally Disabled Services | MI | Agencies | |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MI | Residential Treatment Facilities | |
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | MI | Residential Treatment Facilities | |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MI | Residential Treatment Facilities | |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MI | Residential Treatment Facilities | |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MI | Residential Treatment Facilities | |
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
MI | Respite Care Facility | |
| Y | 251S00000X | Community/Behavioral Health | MI | Agencies |
| Other Name | Type Code |
|---|---|
| Detroit Baptist Children's Home | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396217600 | Judson Center, Inc. | Family Medicine | 12200 E 13 Mile Rd, Warren, MI 48093-3093 | 2018-12-27 |
| 1235569013 | Judson Center, Inc. | Behavioral Analyst | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2013-11-15 |
| Street Address |
4410 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861036188 | Amanda Lynn Zeffero | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-10-30 |
| 1821649799 | Jennifer Lynn Radowick | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-23 |
| 1053960039 | Chrishara Shanae Richardson | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-11 |
| 1154970531 | Olesia Kellezi | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-09-09 |
| 1760036164 | Jacquelyn Paige Renard | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-25 |
| 1497308092 | Lauren Macleod | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-23 |
| 1073165387 | Rebecca Wilson | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-16 |
| 1114579208 | Monique Jackson | Counselor | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-10 |
| 1487211488 | Stephanie Page Ender | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-05-24 |
| 1649735903 | Dana Marie Milliman | Behavior Technician | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629511332 | Jarc | Community/Behavioral Health | 2530 Rochester Rd, Apt. 5, Royal Oak, MI 48073-3684 | 2016-11-29 |
| 1003276338 | Amy Katherine Swartz | Community/Behavioral Health | 423 W Twelve Mile, Royal Oak, MI 48073-4036 | 2016-02-29 |
| 1932709441 | Casalou Counseling Pllc | Community/Behavioral Health | 418 N Main St, Royal Oak, MI 48067-1813 | 2020-10-26 |
| 1093335911 | Mind Over Matter Counseling | Community/Behavioral Health | 25600 Woodward Ave Ste 204, Royal Oak, MI 48067-0945 | 2020-04-21 |
| 1780944967 | Goedert Therapeutic Services, LLC | Community/Behavioral Health | 415 S West St, Suite 150, Royal Oak, MI 48067-2521 | 2012-05-22 |
| 1861750747 | Shannon Wild | Community/Behavioral Health | 1110 Catalpa Dr, Royal Oak, MI 48067-1125 | 2012-04-27 |
| 1417280546 | Christine C. Cantrell, Phd, LLC | Community/Behavioral Health | 1026 W 11 Mile Rd, Suite C, Royal Oak, MI 48067-5401 | 2009-09-08 |
| 1003020553 | Catholic Social Services of Oakland County | Community/Behavioral Health | 1424 E 11 Mile Rd, Royal Oak, MI 48067-2026 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUDSON CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.