HENRY FORD BEHAVIORAL HEALTH- TROY MEDICAL CENTER (NPI# 1093737090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093737090 |
| Entity Type | Organization |
| Organization Name | HENRY FORD BEHAVIORAL HEALTH- TROY MEDICAL CENTER |
| Other Organization Name | HENRY FORD HEALTH SYSTEM |
| Practice Address |
2825 Livernois Rd Troy MI 48083-1214 |
| Practice Telephone | 2486822060 |
| Practice Fax Number | 2486802099 |
| Mailing Telephone | 2486822060 |
| Mailing Fax Number | 2486802099 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES CONNELLY (SR. V. P.) |
| Authorized Official Telephone | 3138748717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| X | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| X | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Henry Ford Health System | Other Name - Individual/Organization |
| Street Address |
2825 LIVERNOIS RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568495208 | Henry Ford Behaviorl Health- Troy Medical Center | Clinic/Center | 2825 Livernois Rd, Troy, MI 48083-1214 | 2006-07-08 |
| 1063903581 | Maggie Hobbs | Speech-Language Pathologist | 2825 Livernois Rd, Troy, MI 48083 | 2018-05-21 |
| 1104167808 | Danelle Renae Stabel | Pediatrics | 2825 Livernois Rd, Troy, MI 48083-1214 | 2013-03-06 |
| 1316299985 | Kelly M Kolody | Social Worker | 2825 Livernois Rd, Troy, MI 48083-1214 | 2012-10-08 |
| 1023368867 | Mona Chahine | Pharmacist | 2825 Livernois Rd, Troy, MI 48083-1214 | 2012-09-19 |
| 1326257213 | Jungho Lee Kwon | Dermatology | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-05-21 |
| 1124236559 | Joseph Gerard Demsich | Pharmacist | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-05-18 |
| 1043432099 | Mary Ann Spencer | Pharmacy Technician | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-05-02 |
| 1750407953 | Henry Ford Hospital | General Acute Care Hospital | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-03-21 |
| 1386770386 | Cathy Ann Kukula | Physician Assistant | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
| 1114430758 | Sarah Watson Pllc | Clinic/Center | 1637 W Big Beaver Rd Ste C, Troy, MI 48084-3540 | 2017-11-06 |
| 1568495208 | Henry Ford Behaviorl Health- Troy Medical Center | Clinic/Center | 2825 Livernois Rd, Troy, MI 48083-1214 | 2006-07-08 |
| 1851865968 | Circle of Life Psychological Services, PC | Clinic/Center | 1700 W Big Beaver Rd Ste 200, Troy, MI 48084-3524 | 2019-01-11 |
| 1497913768 | Cancer Counseling, L.L.C. | Clinic/Center | 4673 Pier Dr, Troy, MI 48098-4180 | 2008-05-23 |
| 1346417797 | Birgit Amann M D P L L C | Clinic/Center | 1639 E Big Beaver Rd, Suite 201, Troy, MI 48083-2053 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1356941280 | Peaceful Pride Counseling LLC | Clinic/Center | 3916 Nottingham Ter, Midland, MI 48642-6217 | 2020-10-29 |
| 1205442142 | Comprehensive Health and Home Care Services LLC | Clinic/Center | 2505 Burton St Se Ste 102a, Grand Rapids, MI 49546-4804 | 2020-09-16 |
| 1356961064 | Turning Point Day Program Center | Clinic/Center | 19720 Dorset St, Southfield, MI 48075-3925 | 2020-04-22 |
| 1316585367 | Valarie James, LLC | Clinic/Center | 1290 36th St Sw, Wyoming, MI 49509-3468 | 2019-12-19 |
| 1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
| 1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
| 1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
| 1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
| 1811545692 | Mindfulness Journey Counseling Pllc | Clinic/Center | 8406 Mabley Hill Rd, Fenton, MI 48430-9454 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
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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.