Organization Active NPI

David P. Stanislaw, Jr., M.S.W., P.C.

  • Community/Behavioral Health Agency
  • Birmingham, MI
National Provider Identifier
1063593424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801000270 Issued in MI
Legal business name
DAVID P. STANISLAW, JR., M.S.W., P.C.
Practice address
191 N Old Woodward Ave
Birmingham, MI 48009-3350
Phone
(248) 645-2777
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David P. Stanislaw, M.S.W.NPI 1013098474
Title
President
Phone
(248) 645-2777

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
Community/Behavioral Health Agency 251S00000X 6801000270 MI Primary

Addresses

Primary practice location

191 N Old Woodward Ave
Birmingham, MI 48009-3350

Mailing address

191 N Old Woodward Ave
Birmingham, MI 48009-3350
Phone (248) 645-2777

National Provider Directory

National Provider Directory

Locations

191 N Old Woodward Ave
Birmingham, MI 48009
Phone (248) 645-2777

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063593424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 N OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093350",
            "telephone_number": "248-645-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093350",
            "telephone_number": "248-645-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P. STANISLAW, JR., M.S.W., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANISLAW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-645-2777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801000270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.