ASCENSION EASTWOOD BEHAVIORAL HEALTH (NPI# 1922116938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922116938 |
Entity Type | Organization |
Organization Name | ASCENSION EASTWOOD BEHAVIORAL HEALTH |
Other Organization Name | EASTWOOD CLINICS |
Practice Address |
1515 N Stephenson Hwy Royal Oak MI 48067-1526 |
Mailing Address |
2800 Livernois Rd Ste 500 Troy MI 48083-1219 |
Practice Telephone | 2485426070 |
Practice Fax Number | 2485423210 |
Mailing Telephone | 2486808203 |
Mailing Fax Number | 2486808030 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2019-09-16 |
Authorized Official Name | STEVEN CANDELA (DIRECTOR) |
Authorized Official Telephone | 2486808203 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 630311 | MI | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Eastwood Clinics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992168983 | Ascension Eastwood Behavioral Health | Psychologist | 11270 E 13 Mile Rd Ste 2, Warren, MI 48093-2599 | 2016-03-29 |
1568768711 | Ascension Eastwood Behavioral Health | Psychiatry & Neurology | 2800 Livernois Rd Ste 500, Troy, MI 48083-1219 | 2011-02-07 |
1144422494 | Ascension Eastwood Behavioral Health | Psychiatry & Neurology | 44000 W 12 Mile Rd Ste 101, Novi, MI 48377 | 2007-05-31 |
1932329166 | Ascension Eastwood Behavioral Health | Counselor | 22151 Morros, Pb1, Suite 334, Detroit, MI 48236-2114 | 2007-04-30 |
1023238250 | Ascension Eastwood Behavioral Health | Psychologist | 22255 Greenfield Road, Suite 300, Southfield, MI 48075-3700 | 2007-04-30 |
1851519359 | Ascension Eastwood Behavioral Health | Counselor | 110 W. South Blvd, Suite 200, Rochester Hills, MI 48307-5150 | 2007-04-23 |
1336367804 | Ascension Eastwood Behavioral Health | Counselor | 22151 Moross, Pb1, Suite 334, Detroit, MI 48236-2114 | 2007-04-23 |
1104044676 | Ascension Eastwood Behavioral Health | Counselor | 22708 Harper Avenue, St. Clair Shores, MI 48315-6033 | 2007-04-23 |
1740408244 | Ascension Eastwood Behavioral Health | Counselor | 30701 Woodward Avenue, Suite 200, Royal Oak, MI 48073-0987 | 2007-04-23 |
1396787701 | Ascension Eastwood Behavioral Health | Counselor | 35455 Garfield Rd, Clinton Township, MI 48035-2236 | 2006-06-11 |
Street Address |
1515 N STEPHENSON HWY |
City | ROYAL OAK |
State | MI |
Zip Code | 48067-1526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912287772 | Michael Maysura | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2011-08-25 |
1861680456 | Jennifer Rose Humphreys | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2007-10-09 |
1386708402 | Margaret Ann Butler | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-12-21 |
1851499776 | Daniel Joseph Grogan | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
1710085634 | Mark Alan Matthews | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
1831297738 | Larry Duane Mccarrick | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
1609974518 | Heather Anne Rye | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
1124126032 | Nancy Sue Messer | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
Find all providers in zip 48067 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ASCENSION EASTWOOD BEHAVIORAL HEALTH.
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.