NPIMap

Organization Active NPI

Community Living Services of Oakland County

  • Community/Behavioral Health Agency
  • Ferndale, MI
National Provider Identifier
1043368558
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY LIVING SERVICES OF OAKLAND COUNTY
Practice address
642 E. Nine Mile Rd.
Ferndale, MI 48220
Phone
(248) 547-2668
Fax
(248) 547-3052
NPI assigned
Jan 8, 2007
Last updated
Jun 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Mrs. Annette Marie Downey, LBSW, QIDPNPI 1821418153
Title
Executive Director
Phone
(248) 547-2668

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

642 E. Nine Mile Rd.
Ferndale, MI 48220

Mailing address

3270 Greenfield Rd
Berkley, MI 48072-1161
Phone (248) 547-2668

National Provider Directory

National Provider Directory

Locations

642 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 547-2668

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1043368558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 GREENFIELD RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721161",
            "telephone_number": "248-547-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 E. NINE MILE RD.",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "48220",
            "telephone_number": "248-547-2668",
            "fax_number": "248-547-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING SERVICES OF OAKLAND COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-547-2668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBSW, QIDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.