ST. JOHN PROVIDENCE COMMUNITY HEALTH (NPI# 1902279466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902279466 |
| Entity Type | Organization |
| Organization Name | ST. JOHN PROVIDENCE COMMUNITY HEALTH |
| Practice Address |
11600 E 7 Mile Rd Detroit MI 48205-2112 |
| Practice Telephone | 3133725974 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | MR. LONNIE HARVEY III (BEHAVIORAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 3133725974 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
6401013184 | MI | Ambulatory Health Care Facilities |
| Street Address |
11600 E 7 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48205-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609245216 | Ascension Southeast Michigan Community Health | Clinic/Center | 11600 E 7 Mile Rd, Detroit, MI 48205-2112 | 2015-09-24 |
| 1679082671 | Lonnie Harvey | Counselor | 11600 E 7 Mile Rd, Detroit, MI 48205-2112 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1770080053 | Leonisha Langford | Licensed Practical Nurse | 16285 Eastpointe, Detroit, MI 48205 | 2018-04-12 |
| 1255856522 | Lakina Moseley | Psychologist | 19601 Crusade St, Detroit, MI 48205 | 2017-08-08 |
| 1881124907 | Shannon B Nesbitt | Licensed Practical Nurse | 20074 Strasburg, Detroit, MI 48205 | 2017-06-13 |
| 1093106155 | Lakeniya Hicks | Home Health Aide | 11270 Kennebec St, Detroit, MI 48205 | 2015-02-11 |
| 1801222005 | Anthony Bonner | Counselor | 4251 E. Mcnichols, Hamtrack, MI 48205 | 2013-09-19 |
| 1265722649 | Vip Home Help Care LLC | In Home Supportive Care | 17801 Rowe St, Deroit, MI 48205 | 2011-04-19 |
| 1588898894 | Brighten Quality Health Care | Home Health | 15031 Troester, Detroit, MI 48205 | 2009-05-14 |
| 1639372717 | Stewart Reynolds | Specialist | 1475 E. Outer Drive, Detroit, MI 48205 | 2007-06-07 |
| Find all providers in zip 48205 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922571041 | Repairer of The Breach Counseling and Consultant Services, LLC | Clinic/Center | 319 Chandler St, Detroit, MI 48202-2857 | 2019-01-11 |
| 1609245216 | Ascension Southeast Michigan Community Health | Clinic/Center | 11600 E 7 Mile Rd, Detroit, MI 48205-2112 | 2015-09-24 |
| 1376057679 | Assured Family Services | Clinic/Center | 7310 Woodward Ave, Detroit, MI 48202-3165 | 2017-11-22 |
| 1144597592 | Vhs Children's Hospital of Michigan | Clinic/Center | 3901 Beaubien St, Detroit, MI 48201-2119 | 2011-11-29 |
| 1790094159 | Children's Hospital | Clinic/Center | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-10-04 |
| 1497952428 | Children's Hospital of Michigan | Clinic/Center | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-07-02 |
| 1356545404 | Childrens Hospital | Clinic/Center | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151751 | Fully Alive Therapeutic Services, LLC | Clinic/Center | 32910 W 13 Mile Rd Ste D-402, Farmington Hills, MI 48334-1980 | 2020-10-09 |
| 1720614530 | Oakland Integrated Healthcare Network | Clinic/Center | 125 W Montcalm St Rm 101, Pontiac, MI 48342-1141 | 2020-03-13 |
| 1588203491 | Heron Ridge Associates Plc | Clinic/Center | 3300 Washtenaw Ave Ste 265, Ann Arbor, MI 48104-4200 | 2019-12-26 |
| 1972141406 | Reliance Counseling, LLC. | Clinic/Center | 11126 Wayne Rd # 2, Romulus, MI 48174-1473 | 2019-12-16 |
| 1629639190 | Pathway Psychological Services Pllc | Clinic/Center | 22750 Woodward Ave Ste 211, Ferndale, MI 48220-1753 | 2019-06-25 |
| 1790344281 | Yearego Professional Counseling | Clinic/Center | 81 Indianwood Rd Ste 2, Lake Orion, MI 48362-1595 | 2019-06-10 |
| 1992268627 | Kalamazoo Empowerment Services, Plc | Clinic/Center | 350 E Michigan Ave Ste 421, Kalamazoo, MI 49007-3855 | 2019-04-10 |
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1972073633 | Hidden Brook Counseling Services, Pllc | Clinic/Center | 2202 Mitchell Park Dr Ste 2b, Petoskey, MI 49770-8897 | 2018-11-26 |
| 1184108789 | Laugh and Learn Therapy LLC | Clinic/Center | 5400 Gateway Ctr Ste E, Flint, MI 48507-3939 | 2018-09-19 |
| 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.