NPIMap

Organization Active NPI

Community Social Services of Wayne County

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1003968413
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SA0820021 Issued in MI
Legal business name
COMMUNITY SOCIAL SERVICES OF WAYNE COUNTY
Practice address
9851 Hamilton Ave
Detroit, MI 48202-1424
Phone
(313) 883-2339
Fax
(313) 883-3957
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Patrick J Heron
Title
Ceo
Phone
(313) 883-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SA0820021 MI Primary

Addresses

Primary practice location

9851 Hamilton Ave
Detroit, MI 48202-1424

Mailing address

9851 Hamilton Ave
Detroit, MI 48202-1424
Phone (313) 883-2100

Other identifiers 3

IdentifierTypeStateIssuer
750913628OtherMIBLUE CROSS BLUE SHIELD
125551OtherMIBEACON HEALTH OPTIONS
750910628OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Community Social Services of Wayne County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1003968413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 HAMILTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021424",
            "telephone_number": "313-883-2100",
            "fax_number": "313-883-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 HAMILTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021424",
            "telephone_number": "313-883-2339",
            "fax_number": "313-883-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SOCIAL SERVICES OF WAYNE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "HERON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-883-2339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "SA0820021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "750913628",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS",
            "identifier": "125551",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "750910628",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.