DETROIT EAST, INC (NPI# 1205854916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205854916 |
| Entity Type | Organization |
| Organization Name | DETROIT EAST, INC |
| Practice Address |
11457 Shoemaker St Detroit MI 48213-3418 |
| Practice Telephone | 3133313435 |
| Practice Fax Number | 3139214125 |
| Mailing Telephone | 3133313435 |
| Mailing Fax Number | 3139214125 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARILYN SNOWDEN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 313-331-3435 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| X | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
11457 SHOEMAKER ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609238674 | Satyamurthy Kotamraju Md PC | Psychiatry & Neurology | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2016-03-28 |
| 1619366705 | Moidunny N Abdutty Sr. | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2015-01-13 |
| 1265833495 | Gwendolyn Wright | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-09-08 |
| 1518367390 | Aurora Cebu | Registered Nurse | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-28 |
| 1497155501 | Yolanda James | Registered Nurse | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-26 |
| 1932509130 | Tiffany Reece | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-26 |
| 1053720706 | Matthew Brown | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-07 |
| 1053720672 | Lauren Hyde Swanson | Social Worker | 11457 Shoemaker St, Detroit, MI 48213 | 2014-08-07 |
| 1770992455 | Safanya Kent | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-07 |
| 1689083404 | Allen Peck | Social Worker | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685464 | Thiera Danyal Therapy and Wellness LLC | Clinic/Center | 10216 Beaconsfield St, Detroit, MI 48224-2573 | 2020-10-06 |
| 1740807353 | Dupree Training and Consulting Services | Clinic/Center | 17183 Edinborough Rd, Detroit, MI 48219-3528 | 2020-06-30 |
| 1679124408 | Mind Management Institute Inc | Clinic/Center | 11000 W Mcnichols Rd Ste 308, Detroit, MI 48221-2393 | 2019-09-23 |
| 1003473091 | Center for Establishing Recovery | Clinic/Center | 100 Riverfront Dr Apt 2610, Detroit, MI 48226-4542 | 2019-05-24 |
| 1598284150 | Couch Therapies LLC | Clinic/Center | 14203 Penrod St, Detroit, MI 48223-3578 | 2017-09-14 |
| 1649790593 | Psychology/educational Consulting Servicee | Clinic/Center | 18324 Fairfield St, Detroit, MI 48221-2753 | 2017-06-22 |
| 1992196281 | Banks Center for Insight, Counseling and Health Resources | Clinic/Center | 2328 E 7 Mile Rd, Ste. 4, Detroit, MI 48234-1304 | 2015-02-09 |
| 1992037634 | Henry Ford Health System | Clinic/Center | 2799 Wg Blvd, Detroit, MI 48202 | 2010-02-05 |
| 1295946051 | Counselors and Creative Consultants, Inc. | Clinic/Center | 615 Griswold St, Suite 532, Detroit, MI 48226-3900 | 2007-05-24 |
| 1447271788 | Detroit Central City Community Mental Health, Inc | Clinic/Center | 10 Peterboro, Detroit, MI 48201-2722 | 2006-07-22 |
| Find all providers in DETROIT | ||||
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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.