Organization Active NPI

Still Mind Therapy Inc

  • Clinical Social Worker
  • Center Line, MI
National Provider Identifier
1013723303
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STILL MIND THERAPY INC
Practice address
7325 Bernice
Center Line, MI 48015-1251
Phone
(586) 899-7516
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Ashly Alghamdi, LMSWNPI 1790407922
Title
President
Phone
(586) 899-7516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7325 Bernice
Center Line, MI 48015-1251

Mailing address

7325 Bernice
Center Line, MI 48015-1251

National Provider Directory

National Provider Directory

Locations

7325 Bernice
Center Line, MI 48015
Phone (586) 899-7516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1013723303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 BERNICE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 BERNICE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151251",
            "telephone_number": "586-899-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL MIND THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "ALGHAMDI",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-899-7516",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.