Macomb Children'S Healthcare Access Program

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MACOMB CHILDREN'S HEALTHCARE ACCESS PROGRAM

Practice address

11370 Hupp Ave
Warren, MI 48089-2505

Phone

(586) 459-5108

Fax

(586) 459-5186

NPI assigned

Apr 4, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Monica Woodson

Title

Executive Director

Phone

(586) 459-5108

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1073976239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11370 HUPP AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892505",
            "telephone_number": "586-459-5108",
            "fax_number": "586-459-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 HUPP AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892505",
            "telephone_number": "586-459-5108",
            "fax_number": "586-459-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB CHILDREN'S HEALTHCARE ACCESS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "586-459-5108",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Mackenzie, LMT
• Jon Whitman Mackey, D.O.
• Taneisha Mackey, PMHNP-BC
• Benjamin Scott Mackie
• Rebecca Macneil
• Macomb County Community Mental Health
• Macomb County Health Department
• Macomb Family Lab Services LLC
• Macomb Hearing Aid Center
• Macomb Hearing Aid Center L.L.C.

• Case Management Agency in Warren, MI
• Providers in Warren, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.