Active NPI
The Children'S Center of Wayne Co., Inc.
- Clinical Child & Adolescent Psychologist
- Detroit, MI
National Provider Identifier
1023736212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Legal business name
- THE CHILDREN'S CENTER OF WAYNE CO., INC.
- Practice address
- 79 W Alexandrine St
Detroit, MI 48201-2015 - Phone
- (313) 262-0951
- NPI assigned
- Aug 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Leid
- Title
- Director of Revenue Cycle
- Phone
- (313) 262-0951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
79 W Alexandrine St
Detroit, MI 48201-2015
Mailing address
79 W Alexandrine St
Detroit, MI 48201-2015
Phone (313) 262-0951
National Provider Directory
National Provider Directory- Tax ID family
- The Children'S Center of Wayne Co Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Detroit, MI
- NPI 1366160236
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1528145844
-
- Social Worker
- Detroit, MI
- NPI 1639897598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1023736212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 W ALEXANDRINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012015",
"telephone_number": "313-262-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 W ALEXANDRINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012015",
"telephone_number": "313-262-0951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CHILDREN'S CENTER OF WAYNE CO., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "LEID",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
"authorized_official_telephone_number": "313-262-0951"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- The Bay at Woodward Health and Rehabilitation Center, LLC
- The Birthing Practice LLC
- The Bridge House LLC
- The Center for Urban Youth and Family Development
- The Children'S Center
- The Children'S Center of Wayne Co., Inc.
- The Children'S Center of Wayne Co., Inc.
- The Children'S Center of Wayne Co., Inc.
- The Children'S Lighthouse Foundation
- The Childrens Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.