ASCENSION EASTWOOD BEHAVIORAL HEALTH (NPI# 1952688814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952688814 |
| Entity Type | Organization |
| Organization Name | ASCENSION EASTWOOD BEHAVIORAL HEALTH |
| Other Organization Name | EASTWOOD CLINCS |
| Practice Address |
45660 Schoenherr Rd Shelby Township MI 48315-6033 |
| Mailing Address |
2800 Livernois Rd Ste 500 Troy MI 48083-1219 |
| Practice Telephone | 5865663020 |
| Practice Fax Number | 5865663055 |
| Mailing Telephone | 2486808203 |
| Mailing Fax Number | 2486808030 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | STEVEN CANDELA (DIRECTOR) |
| Authorized Official Telephone | 5867530400 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTWOOD COMMUNITY CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Eastwood Clincs | 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 |
| 1922116938 | Ascension Eastwood Behavioral Health | Substance Abuse Rehabilitation Facility | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-08-29 |
| Street Address |
45660 SCHOENHERR RD |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48315-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306320627 | Nathan Lloyd White | Social Worker | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2018-09-21 |
| 1649604968 | Patricia Marie Delougherty | Social Worker | 45660 Schoenherr Rd, Shelby Township, MI 48315 | 2013-08-22 |
| 1548514904 | Nicholas Weiss | Social Worker | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2012-11-06 |
| 1902156888 | Jill Hanna Wasserman | Counselor | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2012-09-18 |
| 1649528167 | Robert Lewis Thoms | Counselor | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2012-08-15 |
| 1023386398 | Eastwood Community Clinics | Psychologist | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2011-12-01 |
| 1740427897 | Lynda Kinsell Velanovich | Dietitian, Registered | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2009-01-12 |
| 1356525562 | Medical Resource Group | Dietitian, Registered | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2007-12-24 |
| 1548442742 | Maria Catherine Lijoi | Dietitian, Registered | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2007-11-29 |
| 1710005608 | Jennifer Keller Bourbonnais | Dietitian, Registered | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639630080 | Matthew Mark Brinkmann | Social Worker | 3121 Bloomcrest Dr, Shelby Township, MI 48316-2934 | 2019-03-28 |
| 1528465325 | Jennifer Tuzinsky | Social Worker | 5420 Rail View Ct, Apt 197, Shelby Township, MI 48316-5701 | 2014-11-24 |
| 1568502201 | Renee Antoinette Davidson | Social Worker | 49455 Shelby Rd, Shelby Township, MI 48317-1559 | 2007-02-08 |
| 1518969443 | Gabriela Zamora-ahlstrom | Social Worker | 53375 Whitby Way, Shelby Township, MI 48316-2751 | 2005-08-11 |
| 1306320627 | Nathan Lloyd White | Social Worker | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2018-09-21 |
| 1649604968 | Patricia Marie Delougherty | Social Worker | 45660 Schoenherr Rd, Shelby Township, MI 48315 | 2013-08-22 |
| 1548514904 | Nicholas Weiss | Social Worker | 45660 Schoenherr Rd, Shelby Township, MI 48315-6033 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447453 | Jenni Kirt | Social Worker | 407 I-75 Bus N, Gaylord, MI 49735 | 2020-11-05 |
| 1679173595 | Laura Ann Dillivan | Social Worker | 1545 Cole Ave Ne, Grand Rapids, MI 49505-5026 | 2020-10-29 |
| 1578163580 | Chaundra Randle | Social Worker | 21951 Boulder Dr, Farmington Hills, MI 48335-3702 | 2020-10-28 |
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1083213227 | Angela Hastings | Social Worker | 2751 Stonebluff Dr Sw, Wyoming, MI 49519-6101 | 2020-10-20 |
| 1952900235 | Garrett Robert Gresly | Social Worker | 181 North Ave Lower Level, Battle Creek, MI 49017-3467 | 2020-10-19 |
| 1376141903 | Debra Ann Alexander-maxie | Social Worker | 3500 S Cedar St Ste 116, Lansing, MI 48910-4684 | 2020-10-15 |
| 1699373308 | Courtney Miller | Social Worker | 41845 Old Bridge Rd, Canton, MI 48188-1242 | 2020-10-14 |
| 1427656123 | Elder Care Services | Social Worker | 21650 W 11 Mile Rd Ste 206, Southfield, MI 48076-3777 | 2020-10-14 |
| 1740888940 | Kathy Jo Coffey | Social Worker | Turning Leaf Behavioral Health Services, 621 E Jolly Rd, Lansing, MI 48909 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48315 |
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.