NPIMap

Organization Active NPI

Hands Across the Water, Inc

  • Community/Behavioral Health Agency
  • Ann Arbor, MI
National Provider Identifier
1053663633
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CB810201161 Issued in MI
Legal business name
HANDS ACROSS THE WATER, INC
Practice address
781 Avis Dr Ste 200
Ann Arbor, MI 48108-8959
Phone
(734) 477-0135
Fax
(734) 477-0213
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Amy Beth FryNPI 1144598400
Title
Behavioral Health Specialist
Phone
(734) 477-0135

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Case Management Agency 251B00000X CB810201161 MI
Community/Behavioral Health Agency 251S00000X CB810201161 MI Primary
Foster Care Agency 253J00000X CB810201161 MI

Addresses

Primary practice location

781 Avis Dr Ste 200
Ann Arbor, MI 48108-8959

Mailing address

781 Avis Dr Ste 200
Ann Arbor, MI 48108-8959
Phone (734) 477-0135

National Provider Directory

National Provider Directory

Locations

781 Avis Dr
Ste 200
Ann Arbor, MI 48108
Phone (734) 477-0135

Practitioners & affiliated clinicians

Practitioners 5

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": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1053663633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 AVIS DR STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481088959",
            "telephone_number": "734-477-0135",
            "fax_number": "734-477-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 AVIS DR STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481088959",
            "telephone_number": "734-477-0135",
            "fax_number": "734-477-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS ACROSS THE WATER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH SPECIALIST",
        "authorized_official_telephone_number": "734-477-0135"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "CB810201161",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "CB810201161",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "CB810201161",
            "primary": false
        }
    ],
    "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 Oct 19, 2017; 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.