WILLIAM W. MARTIN, MD PC (NPI# 1225368301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225368301 |
| Entity Type | Organization |
| Organization Name | WILLIAM W. MARTIN, MD PC |
| Other Organization Name | PSYCHIATRIC SERVICES |
| Practice Address |
5575 Conner Suite 208 Detroit MI 48213 |
| Mailing Address |
969 Trombley Rd Grosse Pointe Park MI 48230-1836 |
| Practice Telephone | 3139090470 |
| Mailing Telephone | 3139090470 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |
| Authorized Official Name | WILLIAM W MARTIN (DIRECTOR) |
| Authorized Official Telephone | 3139090470 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
4301052880 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Psychiatric Services | Doing Business As Name - Organization |
| Street Address |
5575 CONNER SUITE 208 |
| City | DETROIT |
| State | MI |
| Zip Code | 48213 |
| 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 | 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 |
|---|---|---|---|---|
| 1033698477 | Cason Adult Day Program Inc | Clinic/Center | 8200 Rolyat St, Detroit, MI 48234-3358 | 2018-08-07 |
| 1922509884 | Village of Hope Senior Center | Clinic/Center | 3127 E Canfield St, Detroit, MI 48207-1508 | 2018-02-26 |
| 1316481195 | Wayne State University | Clinic/Center | 3901 Chrysler Services Drive, Detroit, MI 48201 | 2016-12-13 |
| 1730555640 | A New Beginning | Clinic/Center | 2690 West Boston Blvd, Detroit, MI 48206-1751 | 2015-08-14 |
| 1861729691 | Swilliams Services, LLC | Clinic/Center | 18965 Santa Barbara Dr, Detroit, MI 48221-2151 | 2009-11-16 |
| 1649354606 | K&k Assisted | Clinic/Center | 12060 Indiana St, Detroit, MI 48204-1084 | 2006-10-25 |
| 1477174589 | Ltd Psychological Services | Clinic/Center | 15 E Kirby St, Suite 107b, Detroit, MI 48202-4043 | 2020-04-29 |
| 1801450853 | Harvey-jakson Consulting | Clinic/Center | 19115 W 7 Mile Rd, Detroit, MI 48219-2706 | 2019-04-25 |
| 1962842005 | Mindful Moments LLC | Clinic/Center | 5737 Harvard Rd, Detroit, MI 48224-2007 | 2013-07-03 |
| 1386953727 | Sinai Hospital | Clinic/Center | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2010-10-04 |
| 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.