Active NPI
Prevention Works
- Voluntary or Charitable Agency
- Kalamazoo, MI
National Provider Identifier
1053587246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- License
- 390134
- Legal business name
- PREVENTION WORKS
- Practice address
- 611 Whitcomb St
Suite a
Kalamazoo, MI 49008-2487 - Phone
- (269) 388-4200
- Fax
- (269) 388-2070
- NPI assigned
- May 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Danielle Renee Sielatycki
- Title
- Executive Director
- Phone
- (269) 388-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | 390134 | MI | Primary |
Addresses
Primary practice location
611 Whitcomb St
Suite a
Kalamazoo, MI 49008-2487
Mailing address
611 Whitcomb St
Suite a
Kalamazoo, MI 49008-2487
Phone (269) 388-4200
National Provider Directory
National Provider DirectoryLocations
611 Whitcomb St
Ste A
Kalamazoo, MI 49008
Phone (269) 388-4200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1053587246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 WHITCOMB ST",
"address_2": "SUITE A",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082487",
"telephone_number": "269-388-4200",
"fax_number": "269-388-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 WHITCOMB ST",
"address_2": "SUITE A",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082487",
"telephone_number": "269-388-4200",
"fax_number": "269-388-2070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTION WORKS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "SIELATYCKI",
"authorized_official_first_name": "DANIELLE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "269-388-4200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "MI",
"license": "390134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.