DOWNRIVER MENTAL HEALTH CLINIC PC (NPI# 1598893141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598893141 |
| Entity Type | Organization |
| Organization Name | DOWNRIVER MENTAL HEALTH CLINIC PC |
| Other Organization Name | ADVANCED COUNSELING SERVICES |
| Practice Address |
24715 Little Mack Ave Suite 200 Saint Clair Shores MI 48080-3207 |
| Mailing Address |
20600 Eureka Rd Suite 819 Taylor MI 48180-5343 |
| Practice Telephone | 5867779000 |
| Practice Fax Number | 5867770823 |
| Mailing Telephone | 7342858282 |
| Mailing Fax Number | 7342810402 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2013-07-19 |
| Authorized Official Name | PATRICIA F BEACH (PROVIDER RELATIONS) |
| Authorized Official Telephone | 2482130501 |
| Authorized Official Credential | LMSW ACSW BCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MAGELLAN STATE OF MI | 188715000 | 01 |
| MI | VALUE OPTIONS | 101039 | 01 |
| MI | CARE CHOICES | 511213 | 01 |
| MI | MCARE | BM820042 | 01 |
| MI | BCBS | 7509109000 | 01 |
| MI | HAP | 004241F3 | 01 |
| MI | TEAMSTERS | 4441728 | 01 |
| MI | AETNA | 4449395 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Counseling Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508994237 | Downriver Mental Health Clinic PC | Clinic/Center | 7300 Dixie Hwy, Suite 1000, Clarkston, MI 48346-5103 | 2007-03-02 |
| 1700915071 | Downriver Mental Health Clinic PC | Clinic/Center | 5958 N Canton Center Rd, Suite 900, Canton, MI 48187-2765 | 2007-03-05 |
| 1346378981 | Downriver Mental Health Clinic PC | Clinic/Center | 29201 Telegraph Rd, Suite 550, Southfield, MI 48034-1331 | 2007-03-02 |
| 1225165715 | Downriver Mental Health Clinic PC | Clinic/Center | 7600 Grand River Rd, Suite 290, Brighton, MI 48114-7333 | 2007-02-28 |
| 1104930130 | Downriver Mental Health Clinic PC | Clinic/Center | 20500 Eureka Rd, Suite 200, Taylor, MI 48180-6394 | 2006-08-18 |
| Street Address |
24715 LITTLE MACK AVE SUITE 200 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497220917 | Stacey Lyn Molinaro | Counselor | 24715 Little Mack Ave, Saint Clair Shores, MI 48080-3207 | 2018-10-11 |
| 1023476306 | Aod Dme LLC | Specialist | 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207 | 2016-02-02 |
| 1902165566 | Associated Orthopedist of Detroit | Physical Therapy Assistant | 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207 | 2012-05-16 |
| 1437420924 | James Zurawski | Orthopaedic Surgery | 24715 Little Mack Ave, Ste. 100, Saint Clair Shores, MI 48080-3207 | 2012-01-16 |
| 1831326248 | Abby Joy Johnson | Psychiatry & Neurology | 24715 Little Mack Ave, Saint Clair Shores, MI 48080-3207 | 2009-06-12 |
| 1699909960 | Matthew Michael Brewster | Orthopaedic Surgery | 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207 | 2009-05-14 |
| 1629252689 | Samer George Saqqa | Orthopaedic Surgery | 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207 | 2007-12-26 |
| 1871799833 | Andrew Farris Ajluni | Orthopaedic Surgery | 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207 | 2007-06-26 |
| 1609990753 | Lena Slater Ross | Physical Therapist | 24715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-3207 | 2007-03-16 |
| 1487785325 | Downriver Mental Health Clinic | Clinic/Center | 24715 Little Mack Ave, Suite 200, Saint Clair Shores, MI 48080-3207 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
| 1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
| 1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on DOWNRIVER MENTAL HEALTH CLINIC PC.
| 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.