COMMON GROUND (NPI# 1083786669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083786669 |
| Entity Type | Organization |
| Organization Name | COMMON GROUND |
| Practice Address |
1200 N Telegraph Rd Bldg 32 East Pontiac MI 48341-1032 |
| Practice Telephone | 2485413522 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | MR. TONY ROTHSCHILD (CEO) |
| Authorized Official Telephone | 2484568150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164837431 | Common Ground | Psychiatric Residential Treatment Facility | 1200 Telegraph Rd, Pontiac, MI 48341 | 2014-06-25 |
| 1104249374 | Common Ground | Psychiatric Residential Treatment Facility | 1410 Telegraph Road, Pontiac, MI 48332 | 2014-01-24 |
| 1881033686 | Common Ground | Community/Behavioral Health | 461 Huron, Ste. 100-seminole, Pontiac, MI 48149 | 2013-06-14 |
| 1114348695 | Common Ground | Psychiatric Unit | 461 W Huron St, Pontiac, MI 48341-1601 | 2013-12-30 |
| 1346680345 | Common Ground | Health Maintenance Organization | 1410 S Telegraph Rd, Bloomfield, MI 48302-0046 | 2013-07-05 |
| 1871932129 | Common Ground | Point of Service | 461 W Huron St, Pontiac, MI 48341-1601 | 2013-06-20 |
| 1225100944 | Common Ground | Community/Behavioral Health | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2006-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Common Ground | 885 Arapahoe, Boulder, CO 80302 |
| Washington State Corporations | COMMON GROUND | 419 Occidental Ave S, #504, Seattle, WA 98104 |
| Colorado Business Entities | Common Ground Advising, LLC | 10602 E. Nacoma Dr, Sun Lakes, AZ 85248 |
| New York State Corporations | COMMON GROUND APPAREL & ACCESSORIES, INC. | 435 West 57th Street, Apt. 8d, New York, New York 10019 |
| Colorado Business Entities | Common Ground Behavioral Services LLC | 4515 Lasater Trl., Colorado Springs, CO 80922 |
| Oregon Corporations, Companies and Business Names | COMMON GROUND BROADCASTING, INC. | 6400 Se Lake Road Ste 350, Portland, OR 97222 |
| Vermont Business Registrations | COMMON GROUND BUILDING AND LANDSCAPING, INC. | 2621 Us Rt 2, North Hero, VT 05474 |
| Washington State Corporations | COMMON GROUND C2C LLC | 10645 Se 290th St, Auburn, WA 98092-1913 |
| Connecticut Business Registrations | Common Ground Cafe, LLC | 353 E. Litchfield Road, Litchfield, CT 06759 |
| Vermont Business Registrations | COMMON GROUND CENTER INC. | 473 Tatro Road, Starksboro, VT 05487 |
| Street Address |
1200 N TELEGRAPH RD BLDG 32 EAST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649245010 | Christy Marie Thallman | Nurse Practitioner | 1200 N Telegraph Rd, Bldg. 32e, Pontiac, MI 48341-1032 | 2006-02-21 |
| 1912533266 | David Anthony Dudek | Counselor | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2020-03-19 |
| 1104477405 | Caitlin Jayne Lyons | Social Worker | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2019-09-27 |
| 1508421355 | Joseph Arthur Keith Sudau | Registered Nurse | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2019-05-07 |
| 1811462823 | Ashley Marie Snowden | Psychologist | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2018-10-05 |
| 1073099255 | Latonna Marika Caleb-hughes | Social Worker | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2018-07-11 |
| 1700379708 | Molly King | Social Worker | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2018-06-13 |
| 1962992990 | Michelle Faye Stepp | Emergency Medical Technician, Paramedic | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2018-05-15 |
| 1710480769 | Joshua Walendzik | Emergency Medical Technician, Paramedic | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2018-03-15 |
| 1811404833 | Matthew Justin Gay | Case Manager/Care Coordinator | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2017-12-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164837431 | Common Ground | Psychiatric Residential Treatment Facility | 1200 Telegraph Rd, Pontiac, MI 48341 | 2014-06-25 |
| 1104249374 | Common Ground | Psychiatric Residential Treatment Facility | 1410 Telegraph Road, Pontiac, MI 48332 | 2014-01-24 |
| 1295082188 | Hope Network Genesee Regional Cru | Psychiatric Residential Treatment Facility | 70 Lafayette St, Pontiac, MI 48342-2033 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| 1881961498 | The Meadows Specialized Residential Program | Psychiatric Residential Treatment Facility | 55377 Walterspaugh Rd, Mendon, MI 49072-9545 | 2011-11-27 |
| 1164753828 | Is-care Cls, Inc. | Psychiatric Residential Treatment Facility | 1777 N Rademacher St, Detroit, MI 48209-2049 | 2010-01-20 |
| 1518129295 | Advance Care Incorporated | Psychiatric Residential Treatment Facility | 34932 Ecorse Rd, Romulus, MI 48174-1642 | 2008-06-25 |
| 1356511372 | Detroit Behavioral Institute, LLC | Psychiatric Residential Treatment Facility | 3500 John R St, Detroit, MI 48201-2402 | 2008-03-05 |
| 1245375823 | D & M Consultants, Inc | Psychiatric Residential Treatment Facility | 25071 West Ten Mile Road, Southfield, MI 48033 | 2007-02-21 |
| 1578582672 | Ccs/lansing, Inc | Psychiatric Residential Treatment Facility | 101 W Townsend Rd, Saint Johns, MI 48879-9200 | 2006-07-19 |
| 1154781615 | Detroit Vamc | Psychiatric Residential Treatment Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2016-02-26 |
| 1710351598 | Eagle Village | Psychiatric Residential Treatment Facility | 4507 170th Ave, Hersey, MI 49639-8785 | 2015-11-17 |
| 1407228091 | Cynthia Lajoice Ford | Psychiatric Residential Treatment Facility | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2015-10-22 |
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| 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.