Wholistic Center for Restorative Health and Functional Medicine PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WHOLISTIC CENTER FOR RESTORATIVE HEALTH AND FUNCTIONAL MEDICINE PLLC

Practice address

20905 Greenfield Rd Ste 600
Southfield, MI 48075-5355

Phone

(586) 879-1921

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Camille Johnson, MDNPI 1558337147

Title

Owner

Phone

(313) 858-8480

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Camille Elise Johnson, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Southfield, MI
  • NPI 1558337147
  NPD Authorized official

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1083338909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 W 12 MILE RD # 591",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762584",
            "telephone_number": "313-858-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 600",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755355",
            "telephone_number": "586-879-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC CENTER FOR RESTORATIVE HEALTH AND FUNCTIONAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-858-8480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Raymond Whittaker, M.D.
• Otie Whittaker
• Whole Body Health and Wellness Center Inc
• Whole Body Health and Wellness Center Station 22
• Wholecare Solutions LLC
• Wholistic Center for Restorative Health PLLC
• Wholistic Christian Counseling Center
• Wholistic Healing Ministries LLC
• Nevaeh Wickham
• Widowsweb LLC

• Health Service Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.