Community Care Services

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

COMMUNITY CARE SERVICES

Practice address

1736 Fort St
Lincoln Park, MI 48146-1904

Phone

(313) 382-7861

NPI assigned

Mar 2, 2007

Last updated

Aug 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Kyle Bayne III, MED.

Title

Mental Health Therapist III

Phone

(313) 382-7861

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Judith Anne Plecha, R.N.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Lincoln Park, MI
  • NPI 1649300013
  NPD (past)
• M. Stephanie Sorbet, LMSW

  • Clinical Social Worker
  • Lincoln Park, MI
  • NPI 1316085491
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1023146792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28541 SPRUCE DR",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481349772",
            "telephone_number": "734-782-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461904",
            "telephone_number": "313-382-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "BAYNE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST III",
        "authorized_official_telephone_number": "313-382-7861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MED."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Tiana Clogston, LLMSW
• Justin Coates
• Cole Vision Corporation (Sears Optical #C0126)
• Whitney Cole
• Thomas Michael Collins, DDS
• Community Care Services
• Community Care Services
• Community Care Services
• Community Senior Home Care LLC
• Cari Anne Crawford, LMSW

• Exclusive Provider Organization in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Exclusive Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.