DOWNRIVER MENTAL HEALTH CLINIC PC (NPI# 1104930130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104930130 |
| Entity Type | Organization |
| Organization Name | DOWNRIVER MENTAL HEALTH CLINIC PC |
| Other Organization Name | ADVANCED COUNSELING SERVICES PC |
| Practice Address |
20500 Eureka Rd Suite 200 Taylor MI 48180-6394 |
| Practice Telephone | 7342858282 |
| Practice Fax Number | 7342810402 |
| Mailing Telephone | 7342858282 |
| Mailing Fax Number | 7342810402 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | PATRICIA F BEACH (PROVIDER RELATIONS DIRECTOR) |
| Authorized Official Telephone | 2482130501 |
| Authorized Official Credential | LMSW ACSW BCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MAGELLAN | 003433000 188713000 | 01 |
| MI | AETNA | 4449395 | 01 |
| MI | TEAMSTERS | 4441363 | 01 |
| BCBS OF MI:MENTAL HEALTH | 7509106200 | 01 | |
| MI | HAP | 004241F3 | 01 |
| MI | VALUE OPTIONS | 101039 | 01 |
| CARE CHOICES | 511213 | 01 | |
| MI | MCARE | BM820042 | 01 |
| Other Name | Type Code |
|---|---|
| ADVANCED COUNSELING SERVICES PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508994237 | Downriver Mental Health Clinic PC | Clinic/Center | 7300 Dixie Hwy, Suite 1000, Clarkston, MI 48346-5103 | 2007-03-02 |
| 1700915071 | Downriver Mental Health Clinic PC | Clinic/Center | 5958 N Canton Center Rd, Suite 900, Canton, MI 48187-2765 | 2007-03-05 |
| 1346378981 | Downriver Mental Health Clinic PC | Clinic/Center | 29201 Telegraph Rd, Suite 550, Southfield, MI 48034-1331 | 2007-03-02 |
| 1598893141 | Downriver Mental Health Clinic PC | Clinic/Center | 24715 Little Mack Ave, Suite 200, Saint Clair Shores, MI 48080-3207 | 2007-03-02 |
| 1225165715 | Downriver Mental Health Clinic PC | Clinic/Center | 7600 Grand River Rd, Suite 290, Brighton, MI 48114-7333 | 2007-02-28 |
| Street Address |
20500 EUREKA RD SUITE 200 |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-6394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901398 | Snigdha Singh | Ophthalmology | 20500 Eureka Rd, Ste 200, Taylor, MI 48180-6332 | 2005-06-13 |
| 1215288501 | Samantha Susan Cleaver | Social Worker | 20500 Eureka Rd, Suite 110, Taylor, MI 48180-6332 | 2012-09-26 |
| 1831475680 | Yvonne Wilson | Counselor | 20500 Eureka Rd, Taylor, MI 48180-6332 | 2011-10-25 |
| 1114142296 | Carl Ervin Leak | Counselor | 20500 Eureka Rd, Suite 105, Taylor, MI 48180-6332 | 2007-04-16 |
| 1912028127 | Richard Gelb | Clinical Neuropsychologist | 20500 Eureka Rd, Suite 315, Taylor, MI 48180-6332 | 2007-04-03 |
| 1295866135 | Downriver Mental Health Clinic | Clinic/Center | 20500 Eureka Rd, Suite 200, Taylor, MI 48180-6394 | 2007-03-09 |
| 1679672547 | Dorothy J Spruill | Social Worker | 20500 Eureka Rd, #210, Taylor, MI 48180-6332 | 2006-09-21 |
| 1184640187 | Bernard A Ball | Social Worker | 20500 Eureka Rd, Suite 200, Taylor, MI 48180-6332 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.