OAKLAND INTEGRATED HEALTHCARE NETWORK (NPI# 1407490006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407490006 |
| Entity Type | Organization |
| Organization Name | OAKLAND INTEGRATED HEALTHCARE NETWORK |
| Practice Address |
3825 W Walton Blvd Room B Waterford MI 48329-4270 |
| Mailing Address |
Po Box 430150 Pontiac MI 48343-0150 |
| Practice Telephone | 2487247600 |
| Practice Fax Number | 2487247447 |
| Mailing Telephone | 2487247600 |
| Mailing Fax Number | 2487247447 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | MELISSA MCQUEEN (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 2487247413 |
| Is Organization Subpart | Y |
| Parent Organization Name | OAKLAND INTEGRATED HEALTHCARE NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mason Middle School Empowerment Zone | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478579 | Oakland Integrated Healthcare Network | Clinic/Center | 1200 N Telegraph Rd Bldg 34, Pontiac, MI 48341-1032 | 2020-08-20 |
| 1720614530 | Oakland Integrated Healthcare Network | Clinic/Center | 125 W Montcalm St Rm 101, Pontiac, MI 48342-1141 | 2020-03-13 |
| 1487298204 | Oakland Integrated Healthcare Network | Psychologist | 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 | 2019-11-05 |
| 1952945107 | Oakland Integrated Healthcare Network | Psychologist | 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 | 2019-10-31 |
| 1730723982 | Oakland Integrated Healthcare Network | Psychologist | 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 | 2019-10-31 |
| 1194376566 | Oakland Integrated Healthcare Network | Clinic/Center | 2253 Dixie Hwy, Waterford, MI 48328-1809 | 2019-09-26 |
| 1205363207 | Oakland Integrated Healthcare Network | Clinic/Center | 1275 N Perry St, Pontiac, MI 48340-3135 | 2017-05-22 |
| 1982131967 | Oakland Integrated Healthcare Network | Clinic/Center | 501 N Cass Lake Rd, Waterford, MI 48328-2307 | 2017-05-22 |
| 1083965065 | Oakland Integrated Healthcare Network | Clinic/Center | 22200 W. Nine Mile Rd, Southfield, MI 48033-6008 | 2012-10-01 |
| 1962765529 | Oakland Integrated Healthcare Network | Clinic/Center | 114 Orchard Lake, Pontiac, MI 48341-2244 | 2012-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OAKLAND INTEGRATED HEALTHCARE NETWORK FAMILY MEDICINE CENTER | 461 W Huron St Ste 107, Pontiac, MI 48341-1601 |
| Street Address |
3825 W WALTON BLVD ROOM B |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-4270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982131967 | Oakland Integrated Healthcare Network | Clinic/Center | 501 N Cass Lake Rd, Waterford, MI 48328-2307 | 2017-05-22 |
| 1528433588 | Livingston Community Health | Clinic/Center | 12619 Bentley St, Waterford, CA 95386-9011 | 2015-12-02 |
| 1124381793 | Oakland Integrated Healthcare Network | Clinic/Center | 279 Summit Drive, Waterford, MI 48328-1601 | 2012-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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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.