Primacare , L.L.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRIMACARE , L.L.C.

Practice address

14930 Laplaisance Rd
#138
Monroe, MI 48161-3880

Phone

(734) 513-1122

Fax

(734) 421-1405

NPI assigned

Oct 25, 2006

Organization subpart

Yes

Parent organization

SPECTRUM HUMAN SERVICESAs reported in NPPES

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

Authorized official

Name

Louise Capraro, MA,LLP

Title

Chief Operating Officer

Phone

(734) 513-1122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Primacare, L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westland, MI
  • NPI 1205854726

  O20080429000199

  Same enrollment

Part of

Spectrum Child and Family Services

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAFDCA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louise Stephanie Dery, L.M.S.W

  • Clinical Social Worker
  • Westland, MI
  • NPI 1669538211
  NPD
• Bette Sue Matzas, LMSW

  • Social Worker
  • Garden City, MI
  • NPI 1962688549
  NPD
• Philip O'Dwyer, ED.D, CSW, CACII

  • Clinical Social Worker
  • Garden City, MI
  • NPI 1205037850
  NPD
• Richard Rizzo, PHD, LP

  • Cognitive & Behavioral Psychologist
  • Westland, MI
  • NPI 1174709398
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1073698486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14930 LA PLASIANCE",
            "address_2": "#138",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48161",
            "telephone_number": "734-513-1122",
            "fax_number": "734-421-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 LAPLAISANCE RD",
            "address_2": "#138",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613880",
            "telephone_number": "734-513-1122",
            "fax_number": "734-421-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMACARE , L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HUMAN SERVICES",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "CAPRARO",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "734-513-1122",
        "authorized_official_credential": "MA,LLP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premise Health of Michigan Medical PC
• Randi Preston
• Melissa K Price, LPTA
• Primacare LLC
• Primary Medical Equipment, Inc
• Professional Village Pharmacy
• Progressive Guidance Center of Monroe PLLC
• Progressive Therapeutic Home Health Care, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Monroe, MI
• Providers in Monroe, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.