NPIMap

Organization Active NPI

Catholic Services of Macomb

  • Clinic/Center
  • Clinton TWP, MI
National Provider Identifier
1013216019
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6401012357 Issued in MI
Legal business name
CATHOLIC SERVICES OF MACOMB
Practice address
15945 Canal Rd
Clinton TWP, MI 48038-1610
Phone
(586) 416-2300
Fax
(586) 416-2300
NPI assigned
Mar 17, 2011
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Dr. Cora Haskins, PHDNPI 1447234430
Title
Clinical Director
Phone
(586) 416-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6401012357 MI Primary

Addresses

Primary practice location

15945 Canal Rd
Clinton TWP, MI 48038-1610

Mailing address

15945 Canal Rd
Clinton TWP, MI 48038-1610
Phone (586) 416-2300

National Provider Directory

National Provider Directory
Tax ID family
Catholic Services of Lapeer2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1013216019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 CANAL RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381610",
            "telephone_number": "586-416-2300",
            "fax_number": "586-416-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CANAL RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381610",
            "telephone_number": "586-416-2300",
            "fax_number": "586-416-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC SERVICES OF MACOMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "CORA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "586-416-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "6401012357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.