THOMAS TRAUMATOLOGY INSTITUTE (NPI# 1760978043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760978043 |
| Entity Type | Organization |
| Organization Name | THOMAS TRAUMATOLOGY INSTITUTE |
| Practice Address |
11825 Dexter Ave Detroit MI 48206-1007 |
| Practice Telephone | 3133120087 |
| Practice Fax Number | 3134472277 |
| Mailing Telephone | 3133120087 |
| Mailing Fax Number | 3134472277 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | NAKPANGI THOMAS (CEO) |
| Authorized Official Telephone | 3133120087 |
| Authorized Official Credential | MS, LPC, NCC, CT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
6401012784 | MI | Behavioral Health & Social Service Providers |
| N | 251300000X | Local Education Agency (LEA) | 6401012784 | MI | Agencies |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6401012784 | MI | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Washington Blvd, Detroit, MI 482263130 | 2484993399 |
| Street Address |
11825 DEXTER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48206-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1306330246 | Harper's Care Club, LLC | Home Health | 1732 W Bethune St Apt 4, Detroit, MI 48206 | 2018-06-14 |
| 1700210440 | Tender Loving Care Assisted Living | Custodial Care Facility | 2250 W.euclid, Detroit, MI 48206 | 2013-08-29 |
| 1063560761 | Platinum Care Pharmacy Inc. | Pharmacy | 8500 14th Street, Detroit, MI 48206 | 2007-01-08 |
| 1619067527 | Young-sims Clinic PC | Family Medicine | 9150 Linwood, Detroit, MI 48206 | 2006-10-13 |
| 1093811200 | Grace W Patterson | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-15 |
| 1164437992 | Rosa Park Medical Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8665 Rosa Parks Boulavard, Detroit, MI 48206 | 2006-07-30 |
| 1336495696 | Ephraim I Onwuegbuchu | Pharmacist | 8500 14th Street, Detroit, MI 48206 | 2012-07-24 |
| 1962647552 | Jabez Recovery Management Services, Inc | Substance Abuse Rehabilitation Facility | 2755 Collingwood St, Detroit, MI 48206 | 2008-12-10 |
| 1033215918 | Robert Nmn Sims | Family Medicine | 9150 Linwood Ave, Detroit, MI 48206 | 2006-09-16 |
| Find all providers in zip 48206 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685464 | Thiera Danyal Therapy and Wellness LLC | Clinic/Center | 10216 Beaconsfield St, Detroit, MI 48224-2573 | 2020-10-06 |
| 1740807353 | Dupree Training and Consulting Services | Clinic/Center | 17183 Edinborough Rd, Detroit, MI 48219-3528 | 2020-06-30 |
| 1679124408 | Mind Management Institute Inc | Clinic/Center | 11000 W Mcnichols Rd Ste 308, Detroit, MI 48221-2393 | 2019-09-23 |
| 1003473091 | Center for Establishing Recovery | Clinic/Center | 100 Riverfront Dr Apt 2610, Detroit, MI 48226-4542 | 2019-05-24 |
| 1598284150 | Couch Therapies LLC | Clinic/Center | 14203 Penrod St, Detroit, MI 48223-3578 | 2017-09-14 |
| 1649790593 | Psychology/educational Consulting Servicee | Clinic/Center | 18324 Fairfield St, Detroit, MI 48221-2753 | 2017-06-22 |
| 1992196281 | Banks Center for Insight, Counseling and Health Resources | Clinic/Center | 2328 E 7 Mile Rd, Ste. 4, Detroit, MI 48234-1304 | 2015-02-09 |
| 1992037634 | Henry Ford Health System | Clinic/Center | 2799 Wg Blvd, Detroit, MI 48202 | 2010-02-05 |
| 1295946051 | Counselors and Creative Consultants, Inc. | Clinic/Center | 615 Griswold St, Suite 532, Detroit, MI 48226-3900 | 2007-05-24 |
| 1447271788 | Detroit Central City Community Mental Health, Inc | Clinic/Center | 10 Peterboro, Detroit, MI 48201-2722 | 2006-07-22 |
| Find all providers in DETROIT | ||||
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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.