Adams Behavioral & Psychological Services PC

Primary specialty

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

License

6801088547 Issued in MI

Legal business name

ADAMS BEHAVIORAL & PSYCHOLOGICAL SERVICES PC

Practice address

17340 W 12 Mile Rd Ste 205
Southfield, MI 48076-6322

Phone

(313) 402-7779

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allen Russell AdamsNPI 1013175587

Title

Clinician

Phone

(313) 402-7779

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, and the practitioner matching its NPPES authorized official.

• Allen Russell Adams, MSW

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1013175587
  Authorized official Same address or phone

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1114317476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17340 W 12 MILE RD STE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766322",
            "telephone_number": "313-402-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17340 W 12 MILE RD STE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766322",
            "telephone_number": "313-402-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS BEHAVIORAL & PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "313-402-7779"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6801088547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Adam, LLBSW
• Steven Adamczyk, DO
• Carol C Adamkiewicz, CRNA
• Catherine Rose Adamowski
• Adams and Associates Counseling Service
• Hope-Zenobia Adams Smith
• Currine Adams-Terry
• Alesia Lynn Adams
• Allen Russell Adams, MSW
• Angela Ida Morgan Adams

• Mental Health Clinic/Center (Including Community Mental Health Center) in Southfield, MI
• Providers in Southfield, 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 Jan 26, 2015; 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.