NPIMap

Organization Active NPI

Center for Individual & Family Therapy

  • Psychiatry Physician
  • Taylor, MI
National Provider Identifier
1063464097
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTER FOR INDIVIDUAL & FAMILY THERAPY
Practice address
21751 Ecorse Rd
Taylor, MI 48180-1846
Phone
(313) 291-7000
Fax
(313) 291-0942
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Josephine Sheehy, ACSWNPI 1902834682
Title
President
Phone
(313) 291-7000

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

21751 Ecorse Rd
Taylor, MI 48180-1846

Mailing address

21751 Ecorse Rd
Taylor, MI 48180-1846
Phone (313) 291-7000

National Provider Directory

National Provider Directory

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1063464097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21751 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801846",
            "telephone_number": "313-291-7000",
            "fax_number": "313-291-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21751 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801846",
            "telephone_number": "313-291-7000",
            "fax_number": "313-291-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INDIVIDUAL & FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SHEEHY",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-291-7000",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.