EASTER SEALS - MICHIGAN, INC. (NPI# 1750548046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750548046 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS - MICHIGAN, INC. |
| Other Organization Name | ADULT SERVICES |
| Practice Address |
22170 W 9 Mile Rd Southfield MI 48033-6007 |
| Mailing Address |
2387 E Walton Blvd Auburn Hills MI 48326-1955 |
| Practice Telephone | 2483726800 |
| Practice Fax Number | 2483551402 |
| Mailing Telephone | 2484756400 |
| Mailing Fax Number | 2484756402 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2012-09-27 |
| Authorized Official Name | BRENT WIRTH (CEO/PRESIDENT) |
| Authorized Official Telephone | 2484756400 |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTER SEALS - MICHIGAN, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Adult Services | Doing Business As Name - 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 |
| 1376526616 | Easter Seals - Michigan, Inc. | Psychiatry & Neurology | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | 2005-11-21 |
| 1467619759 | Easter Seals - Michigan, Inc. | Community/Behavioral Health | 269 Summit Dr, Waterford, MI 48328-3364 | 2008-05-22 |
| 1023275328 | Easter Seals - Michigan, Inc. | Community/Behavioral Health | 1420 University Ave, Flint, MI 48504-6208 | 2008-05-22 |
| Street Address |
22170 W 9 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962472654 | Satish Kumar Cham | Family Medicine | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2006-01-25 |
| 1912506585 | Amanda Johnson | Case Manager/Care Coordinator | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2020-10-23 |
| 1083213987 | Patrick Murray | Case Manager/Care Coordinator | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2020-10-21 |
| 1629682851 | Richard Armstrong | Social Worker | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2020-09-04 |
| 1770196529 | Marcus Orr | Case Manager/Care Coordinator | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2020-08-30 |
| 1558973222 | Alyssa Anderson | Social Worker | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2020-08-23 |
| 1275141863 | Stephanie Longmire | Case Manager/Care Coordinator | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2020-07-20 |
| 1801419635 | Gabrielle Adanna Ogu | Social Worker | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2020-05-27 |
| 1578186987 | Zachary Manns | Case Manager/Care Coordinator | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2020-05-19 |
| 1508491226 | Raya Marie Lasiewski | Case Manager/Care Coordinator | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| 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 |
|---|---|---|---|---|
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1235774514 | Siebert Psychotherapy Services | Community/Behavioral Health | 29501 Greenfield Rd Ste 132, Southfield, MI 48076-2250 | 2019-11-11 |
| 1225682933 | Hydro Play LLC | Community/Behavioral Health | 21776 Colony Park Cir Apt 203, Southfield, MI 48076-1658 | 2019-07-31 |
| 1376017137 | Stacy K Doctoroff Lpc, LLC | Community/Behavioral Health | 29260 Franklin Rd Ste 111, Southfield, MI 48034-1196 | 2019-01-15 |
| 1295208361 | Sensible Counseling Pllc | Community/Behavioral Health | 15700 W 10 Mile Rd Ste 101a, Southfield, MI 48075-2100 | 2019-01-10 |
| 1477039055 | Faith Soars Counseling | Community/Behavioral Health | 24681 Northwestern Hwy Ste 303, Southfield, MI 48075-2322 | 2018-07-17 |
| 1033608054 | Healing Waters Grief Therapy Pllc | Community/Behavioral Health | 18444 W 10 Mile Rd Ste 204, Southfield, MI 48075-2626 | 2018-05-04 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| 1760925267 | 1 Percent LLC | Community/Behavioral Health | 27090 Devonshire St, Southfield, MI 48076-3139 | 2016-12-01 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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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.