NPIMap

Organization Active NPI

Samaritan Counseling Center of Southeastern Michigan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmington Hills, MI
National Provider Identifier
1043373137
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAMARITAN COUNSELING CENTER OF SOUTHEASTERN MICHIGAN
Practice address
29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309
Phone
(248) 474-4701
Fax
(248) 474-1518
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dr. Paul J. Melrose, D.MIN.
Title
Executive Director
Phone
(248) 474-4701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309

Mailing address

29887 W 11 Mile Rd
Farmington Hills, MI 48336-1309
Phone (248) 474-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000168 MI Part B Supplier - Clinic/Group Practice 0345390266 Receives reassigned benefits from 2 practitioners
Practice locations: Whitmore Lake, MI; Oxford, MI; Northville, MI; Farmington Hills, MI; Canton, MI; Brighton, MI; Birmingham, MI; Ann Arbor, MI…

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7101 Park Ave
Allen Park, MI 48101

1501 W Liberty St
Ann Arbor, MI 48103
Phone (734) 677-0609

1669 W Maple Rd
Birmingham, MI 48009
Phone (248) 646-3347

400 E Grand River Ave
Brighton, MI 48116

5835 N Sheldon Rd
Canton, MI 48187

1155 N Commerce Rd
Commerce Township, MI 48382

36520 W 12 Mile Rd
Farmington Hills, MI 48331

28650 W 11 Mile Rd
Farmington Hills, MI 48336

680 W Livingston Rd
Highland, MI 48357

777 W 8 Mile Rd
Northville, MI 48167

3050 S Sashabaw Rd
Oxford, MI 48371

9318 Main St
Whitmore Lake, MI 48189
Phone (734) 677-0609

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1043373137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29887 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361309",
            "telephone_number": "248-474-4701",
            "fax_number": "248-474-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29887 W 11 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361309",
            "telephone_number": "248-474-4701",
            "fax_number": "248-474-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING CENTER OF SOUTHEASTERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "MELROSE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-474-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.