Organization Active NPI

Specialty Elite Care Management, PLLC

  • Pain Clinic/Center
  • Southfield, MI
National Provider Identifier
1114723079
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SPECIALTY ELITE CARE MANAGEMENT, PLLC
Practice address
16000 W 9 Mile Rd Ste 411
Southfield, MI 48075-4839
Phone
(248) 450-0080
NPI assigned
Feb 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Deljuan Stolling
Title
Office Manager
Phone
(248) 450-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

16000 W 9 Mile Rd Ste 411
Southfield, MI 48075-4839

Mailing address

16000 W 9 Mile Rd Ste 411
Southfield, MI 48075-4839
Phone (248) 450-0080

National Provider Directory

National Provider Directory

Locations

16000 W 9 Mile Rd
Ste 411
Southfield, MI 48075
Phone (248) 450-0080

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1114723079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 W 9 MILE RD STE 411",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754839",
            "telephone_number": "248-450-0080",
            "fax_number": "765-319-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 W 9 MILE RD STE 411",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754839",
            "telephone_number": "248-450-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY ELITE CARE MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "STOLLING",
        "authorized_official_first_name": "DELJUAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-450-0080"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.