NPIMap

Organization Active NPI

County of Wayne

Doing business as Third Circuit Court-Clinic for Child Study

  • Case Management Agency
  • Detroit, MI
National Provider Identifier
1114144847
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COUNTY OF WAYNE
Doing business as
Third Circuit Court-Clinic for Child Study
Practice address
1025 E Forest Ave
Building C
Detroit, MI 48207-1024
Phone
(313) 833-2800
Fax
(313) 833-2841
NPI assigned
Apr 20, 2007
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Ms. Michelle A Esterbrook, MSW, LMSW
Title
Director of Clinic Operations
Phone
(313) 833-2830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1025 E Forest Ave
Building C
Detroit, MI 48207-1024

Mailing address

1025 E Forest Ave
Building C
Detroit, MI 48207-1024
Phone (313) 833-2800

Other names 1

  • Third Circuit Court-Clinic for Child Study Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Det Metro Wayne Cty Air11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1025 E Forest Ave
Bldg C
Detroit, MI 48207
Phone (313) 833-2800

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1114144847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E FOREST AVE",
            "address_2": "BUILDING C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071024",
            "telephone_number": "313-833-2800",
            "fax_number": "313-833-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E FOREST AVE",
            "address_2": "BUILDING C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071024",
            "telephone_number": "313-833-2800",
            "fax_number": "313-833-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "ESTERBROOK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "313-833-2830",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Third Circuit Court-Clinic for Child Study",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.