EASTER SEALS - MICHIGAN, INC. (NPI# 1376526616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376526616 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS - MICHIGAN, INC. |
| Other Organization Name | ADMINISTRATIVE OFFICE |
| Practice Address |
2399 E Walton Blvd Auburn Hills MI 48326-1955 |
| Practice Telephone | 2484756400 |
| Practice Fax Number | 2484756402 |
| Mailing Telephone | 2484756400 |
| Mailing Fax Number | 2484756402 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | BRENT WIRTH (CEO/PRESIDENT) |
| Authorized Official Telephone | 2484756400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Administrative Office | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407013709 | Easter Seals - Michigan, Inc. | Community/Behavioral Health | 24445 Northwestern Hwy Ste 100, Southfield, MI 48075-2436 | 2008-05-22 |
| 1467619759 | Easter Seals - Michigan, Inc. | Community/Behavioral Health | 269 Summit Dr, Waterford, MI 48328-3364 | 2008-05-22 |
| 1750548046 | Easter Seals - Michigan, Inc. | Community/Behavioral Health | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2008-05-22 |
| 1023275328 | Easter Seals - Michigan, Inc. | Community/Behavioral Health | 1420 University Ave, Flint, MI 48504-6208 | 2008-05-22 |
| Street Address |
2399 E WALTON BLVD |
| City | AUBURN HILLS |
| State | MI |
| Zip Code | 48326-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972636 | Ashley Nicole Stewart | Nursing Care | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2020-11-05 |
| 1760081574 | Josiah Cushman | Adult Companion | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2020-10-22 |
| 1093313934 | Iman Traore | Case Manager/Care Coordinator | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2020-10-13 |
| 1770196198 | Hannah Greenleaf | Case Manager/Care Coordinator | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2020-08-25 |
| 1568074144 | Shelby R Howard | Case Manager/Care Coordinator | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2020-08-17 |
| 1467089458 | Easter Seals Michigan Telemed/medicare Plus Blue | Psychologist | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2020-03-27 |
| 1659908705 | Cameron Dean Hosner | Social Worker | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2020-03-26 |
| 1043841786 | Colleen L Hall-young | Nurse Practitioner | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2020-01-31 |
| 1043855026 | Jason Maurice Moseley | Counselor | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2019-11-13 |
| 1609418169 | Colleen Reveley | Social Worker | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2019-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256220 | Pdn Billing, LLC. | Home Health | 3165 Oxford West, Auburn Hills, MI 48326 | 2017-06-29 |
| 1326583238 | Doreen Lang | Contractor | 2384 E Walton Blvd, Auburn Hills, MI 48326 | 2016-12-31 |
| 1205282266 | Gomaa LLC | Pharmacy | 2191 South Blvd Ste 1b, Auburn Hills, MI 48326 | 2016-05-09 |
| 1346621430 | Georjeana Dillard-parker | Social Worker | 620 Sheffield Road, Auburn Hilla, MI 48326 | 2015-06-15 |
| 1205213188 | Alison Elizabeth Lindensmith | Social Worker | 2239 E Walton Blvd, Auburn Hills, MI 48326 | 2015-04-30 |
| 1679912141 | Deborah Lynn Mckeever | Registered Nurse | 165 S. Opdyke Rd., Lot 217, Auburn Hills, MI 48326 | 2013-06-18 |
| 1790033231 | Bridget Green | Counselor | 2387 Walton Blvd, Easter Seals, Auburn Hills, MI 48326 | 2012-08-15 |
| 1205106614 | Sally S. Barbat | Psychologist | 691 N Squirrel Rd Ste 115, Auburn Hills, MI 48326 | 2012-01-03 |
| 1124315403 | Emanuela A Popa | Pharmacist | 2564 N Squirrel Rd, Ap#162, Auburn Hills, MI 48326 | 2011-07-07 |
| 1679870737 | Oakland County Community Mental Health Authority | Community/Behavioral Health | 2011 Executive Hills Blvd, Auburn Hills, MI 48326 | 2011-02-24 |
| Find all providers in zip 48326 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124466388 | Latoya Thompson | Community/Behavioral Health | 3906 Baldwin Rd Unit 210483, Auburn Hills, MI 48321-7769 | 2013-06-10 |
| 1679870737 | Oakland County Community Mental Health Authority | Community/Behavioral Health | 2011 Executive Hills Blvd, Auburn Hills, MI 48326 | 2011-02-24 |
| 1841684461 | Nextstep Solutions Inc. | Community/Behavioral Health | 3201 University Dr, Auburn Hills, MI 48326-2394 | 2015-03-20 |
| 1164721890 | Easter Seals Michigan | Community/Behavioral Health | 2387 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2011-03-21 |
| 1316181290 | Kim Dembrosky | Community/Behavioral Health | 1270 Doris Rd, Auburn Hills, MI 48326-2617 | 2009-04-23 |
| 1144481417 | Catholic Social Services | Community/Behavioral Health | 3300 S Adams Rd, Auburn Hills, MI 48326-3304 | 2008-06-19 |
| 1982862934 | Easter Seals - Michigan Inc | Community/Behavioral Health | 2387 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | AUBURN HILLS |
| Zip Code | 48326 |
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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.