Organization Active NPI

Purple Change Wellness Institute of Trauma Recovery and Well-Being

  • Clinical Social Worker
  • Allen Park, MI
National Provider Identifier
1023892338
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PURPLE CHANGE WELLNESS INSTITUTE OF TRAUMA RECOVERY AND WELL-BEING
Practice address
7445 Allen Rd Ste 110
Allen Park, MI 48101-1959
Phone
(313) 789-7553
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Angelah D. Cramer, LMSW, CAADC, CCSNPI 1265784011
Title
Chief Executive Officer
Phone
(313) 789-7553

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7445 Allen Rd Ste 110
Allen Park, MI 48101-1959

Mailing address

7445 Allen Rd Ste 110
Allen Park, MI 48101-1959
Phone (313) 789-7553

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1023892338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD STE 110",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011959",
            "telephone_number": "313-789-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD STE 110",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011959",
            "telephone_number": "313-789-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE CHANGE WELLNESS INSTITUTE OF TRAUMA RECOVERY AND WELL-BEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "ANGELAH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "313-789-7553",
        "authorized_official_credential": "LMSW, CAADC, CCS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.