Goodwill Industries of Southeastern Michigan, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GOODWILL INDUSTRIES OF SOUTHEASTERN MICHIGAN, INC.

Practice address

600 E Beecher St
Adrian, MI 49221-3907

Phone

(517) 263-2135

Fax

(517) 265-9740

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Tipping

Title

Chief Operating Officer

Phone

(517) 263-2135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1063697290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E BEECHER ST",
            "address_2": "P.O. BOX 805",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213907",
            "telephone_number": "517-263-2135",
            "fax_number": "517-265-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BEECHER ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213907",
            "telephone_number": "517-263-2135",
            "fax_number": "517-265-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF SOUTHEASTERN MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "TIPPING",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "517-263-2135",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah J Gomez
• Hector Rafael Gonzalez
• Lisa Ann Gonzalez, LLMSW
• Samantha Good, QMHS
• Amy Goodman
• Nilaine Gordon, M.A. C.P.S.S.
• Tamara Lynn Gorniak, CNP
• Aron Alan Gornowicz, D.O.
• Scott Graham, LLPC
• Gary Wynn Gray, PT

• Community/Behavioral Health Agency in Adrian, MI
• Providers in Adrian, MI by specialty
• Community/Behavioral Health Agency in Michigan

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

Verify at the official NPI Registry.