BOYSVILLE OF MICHIGAN, INC. (NPI# 1184061426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184061426 |
| Entity Type | Organization |
| Organization Name | BOYSVILLE OF MICHIGAN, INC. |
| Other Organization Name | HOLY CROSS SERVICES |
| Practice Address |
35 S Johnson St Suite 3c Pontiac MI 48341-1658 |
| Mailing Address |
8759 Clinton Macon Rd Clinton MI 49236-9572 |
| Practice Telephone | 2483337222 |
| Practice Fax Number | 2483337254 |
| Mailing Telephone | 5174237556 |
| Mailing Fax Number | 5174235442 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | PAULINE M BAUDOUX (REGIONAL OFFICE COORDINATOR) |
| Authorized Official Telephone | 9895963558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SA0631363 | MI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Holy Cross Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264662 | Boysville of Michigan, Inc. | Counselor | 4318 Miller Rd Ste A, Flint, MI 48507-1267 | 2013-06-06 |
| 1578949400 | Boysville of Michigan, Inc. | Substance Abuse Rehabilitation Facility | 3410 Old Lansing Rd, Lansing, MI 48917-4392 | 2015-08-03 |
| 1902950025 | Boysville of Michigan, Inc. | Voluntary or Charitable | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2007-01-23 |
| Street Address |
35 S JOHNSON ST SUITE 3C |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345151 | Warren Rauss Pratt | Pharmacist | 35 S Johnson St, Suite 1e, Pontiac, MI 48341-1658 | 2005-06-09 |
| 1225278542 | Alan Moore | Counselor | 35 S Johnson St, Suite 0-c, Pontiac, MI 48341-1658 | 2009-02-26 |
| 1306086772 | Lonie Gray | Counselor | 35 S Johnson St, Suite 0-c, Pontiac, MI 48341-1658 | 2009-02-25 |
| 1407015795 | Comprehensive Treatment Center P.C. | Clinic/Center | 35 S Johnson St, Ste 2 H, Pontiac, MI 48341-1658 | 2008-06-03 |
| 1629236807 | Jane Elizabeth Moody | Pharmacist | 35 S Johnson St, Suite 1e, Pontiac, MI 48341-1658 | 2008-05-24 |
| 1922278795 | Robert M. Phillips Jr M.d. P.C. | Pediatrics | 35 S Johnson St, Suite 1b, Pontiac, MI 48341-1658 | 2008-03-07 |
| 1740466051 | Pontiac Associates In Obstetrics & Gynecology, P.C. | Clinic/Center | 35 S Johnson St, Suite 3c, Pontiac, MI 48341-1662 | 2008-01-16 |
| 1891971693 | Thomas Mathew Md Pllc | Internal Medicine | 35 S Johnson St, 1a, Pontiac, MI 48341-1658 | 2008-01-11 |
| 1790973618 | Richard Thomas Mcdonald | Dentist | 35 S Johnson St, Suite 2a, Pontiac, MI 48341-1658 | 2007-10-04 |
| 1306032511 | North Oakland Dental Center | Dentist | 35 S Johnson St, Suite 2a, Pontiac, MI 48341-1658 | 2007-09-20 |
| Find all providers in the same location | ||||
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047039 | The Restoration Village: Therapeutic and Holistic Services | Counselor | 149 Martin Luther King Jr Blvd N, Pontiac, MI 48342-2514 | 2019-01-17 |
| 1083160790 | Kim Kory Young | Counselor | 116 N Johnson St, Pontiac, MI 48341-1330 | 2016-09-01 |
| 1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
| 1689842775 | Janice Lee | Counselor | 534 Franklin Rd, Pontiac, MI 48341-2527 | 2008-02-12 |
| 1699963074 | John Brownlee Moir | Counselor | 91 N. Saginaw St., Suite G 101, Pontiac, MI 48342 | 2007-10-10 |
| 1548450430 | Alejandra Alma-zapata | Counselor | 35 W Huron St Ste 500, Pontiac, MI 48342-2125 | 2007-07-27 |
| 1861603417 | Michael O'brien | Counselor | 36 W Tennyson Ave, Pontiac, MI 48340-2668 | 2007-05-25 |
| 1912533266 | David Anthony Dudek | Counselor | 1200 N Telegraph Rd, Pontiac, MI 48341-1032 | 2020-03-19 |
| 1477106003 | Kevin Steidinger | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-07-23 |
| 1891262879 | Stacie Nicole Burns I | Counselor | 239 State St, Pontiac, MI 48341-1363 | 2018-10-29 |
| Find all providers in PONTIAC | ||||
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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.