DETROIT WAYNE MENTAL HEALTH AUTHORITY (NPI# 1609290451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609290451 |
| Entity Type | Organization |
| Organization Name | DETROIT WAYNE MENTAL HEALTH AUTHORITY |
| Practice Address |
707 W Milwaukee St Detroit MI 48202-2943 |
| Practice Telephone | 3133449099 |
| Mailing Telephone | 3133449090 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MRS. STACIE DURANT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3133449099 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497179170 | Detroit Wayne Mental Health Authority | Psychologist | 707 W. Milwaukee, 3rd Floor Finance, Detroit, MI 48202-2599 | 2014-02-14 |
| 1558798934 | Detroit Wayne Mental Health Authority | Community/Behavioral Health | 707 W Milwaukee St, 3rd Floor Finance, Detroit, MI 48202-2943 | 2013-10-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DETROIT WAYNE MENTAL HEALTH AUTHORITY | 707 W Milwaukee St, Detroit, MI 48202-2943 |
| Street Address |
707 W MILWAUKEE ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689731960 | James Fredric Kelly | Counselor | 707 W Milwaukee St, 7th Floor, Detroit, MI 48202-2943 | 2007-01-03 |
| 1205437696 | Margaret Vocos | Student in an Organized Health Care Education/Training Program | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-11-03 |
| 1861092413 | Katie Marie Beasley | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-31 |
| 1538769377 | Maya Arsneault | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-30 |
| 1225638141 | Emily Marie Swisher | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-29 |
| 1598365454 | Erika Campbell | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-29 |
| 1326648221 | David George Emmenecker | Counselor | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-29 |
| 1891395711 | Mi-shael Taylor | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-29 |
| 1477152205 | Kendra Lynn Nash | Student in an Organized Health Care Education/Training Program | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-22 |
| 1699374017 | Riley Michelle Lowe | Student in an Organized Health Care Education/Training Program | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942570551 | Latanya Denise Gater | Psychologist | 15818 Tuller St, Detroit, MI 48238-1240 | 2012-01-12 |
| 1174735286 | Staci Hirsch | Psychologist | 5470 Chene Street, Detroit, MI 48211 | 2007-05-03 |
| 1780232835 | Jamie Lee Ann Douglas | Psychologist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-09-02 |
| 1447731690 | Sarah Wilhoit | Psychologist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2018-08-26 |
| 1437664786 | Laura Gilboe | Psychologist | 7310 Woodward Ave, Detroit, MI 48202-3165 | 2017-12-08 |
| 1780130278 | Jenna Jones | Psychologist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2016-08-25 |
| 1306204847 | Chelsey Esser | Psychologist | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2016-01-28 |
| 1437529617 | Jasmine Jones | Psychologist | 15766 Whitcomb St, Detroit, MI 48227-2667 | 2015-10-01 |
| 1679950067 | Tyler Arban | Psychologist | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2015-05-05 |
| 1467872713 | Elan Dawson | Psychologist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2014-04-24 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on DETROIT WAYNE MENTAL HEALTH AUTHORITY.
| 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.