Organization Active NPI

Rfmudry Behavioral Health, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1033689773
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RFMUDRY BEHAVIORAL HEALTH, PLLC
Practice address
220 Nickels Arc
Ann Arbor, MI 48104-2410
Phone
(734) 657-8041
NPI assigned
Nov 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Roxann Mudry, LMSWNPI 1861875817
Title
Provider
Phone
(734) 657-8041

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

220 Nickels Arc
Ann Arbor, MI 48104-2410

Mailing address

2163 Martin St
Westland, MI 48186-9393
Phone (734) 657-8041

National Provider Directory

National Provider Directory

Locations

220 Nickels Arc
Ann Arbor, MI 48104
Phone (734) 657-8041

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": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1033689773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 MARTIN ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481869393",
            "telephone_number": "734-657-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NICKELS ARC",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042410",
            "telephone_number": "734-657-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RFMUDRY BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "MUDRY",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "734-657-8041",
        "authorized_official_credential": "LMSW"
    },
    "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 Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.