Common Ground

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

4704298086 Issued in MI

Legal business name

COMMON GROUND

Practice address

1410 Telegraph Road
Pontiac, MI 48332

Phone

(248) 341-3780

NPI assigned

Jan 24, 2014

Organization subpart

No

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

Authorized official

Name

Emily Suzanne Prellberg, RN

Title

Registered Nurse

Phone

(248) 554-5818

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1104249374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34971 AQUARIUS DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105633",
            "telephone_number": "248-554-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 TELEGRAPH ROAD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48332",
            "telephone_number": "248-341-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "PRELLBERG",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "248-554-5818",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MI",
            "license": "4704298086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2222222",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette Kaitlyn Collacott
• Ashley Elizabeth Collins, MD
• Eric Collins, MD
• Comfort Group Home LLC
• Common Ground
• Common Ground
• Common Ground
• Common Ground
• Common Ground
• Common Ground

• Psychiatric Residential Treatment Facility in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Psychiatric Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.