Prestige Creative Arts Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRESTIGE CREATIVE ARTS THERAPY, LLC

Practice address

2167 15 Mile Rd
Sterling Heights, MI 48310-4820

Phone

(248) 470-5644

Fax

(866) 496-9908

NPI assigned

Feb 4, 2010

Last updated

Dec 3, 2019By 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

Mrs. Diane King

Title

Owner

Phone

(248) 470-5644

Specialties & licenses 1

Addresses

Locations

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.

• Catherine Barry, LMSW

  • Clinical Social Worker
  • Center Line, MI
  • NPI 1205294097
  NPD (past)
• Michele Leno, PH.D.

  • Clinical Psychologist
  • Novi, MI
  • NPI 1770818577
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1033441746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104820",
            "telephone_number": "248-470-5644",
            "fax_number": "866-496-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104820",
            "telephone_number": "248-470-5644",
            "fax_number": "866-496-9908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28388 Franklin Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480345503",
            "country_code": "US",
            "telephone_number": "313-743-7434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESTIGE CREATIVE ARTS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-470-5644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Services of Michigan, LLC (Community Medical Services)
• Premier Services of Michigan, LLC (CMS Sterling Heights)
• Premier Solutions, Inc. (Zounds Hearing)
• Premise Health of Michigan Medical PC (Sterling Heights MI)
• Premium Home Health Care Inc
• Prestige Specialty Pharmacy LLC
• Prestige Specialty Pharmacy LLC
• Prestige Specialty Pharmacy LLC (prestige specialty pharmacy)
• Russchelle Pretzer
• Prevention Treatment Management Care

• Clinical Social Worker in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.