Delta Family Clinic South P.C

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DELTA FAMILY CLINIC SOUTH P.C

Practice address

1309 S Linden Rd Ste C
Flint, MI 48532-3443

Phone

(810) 630-1152

Fax

(810) 630-9107

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Erin Brianne Williams

Title

Manager

Phone

(810) 630-1152

Specialties & licenses 1

Addresses

Tax ID family

Delta Family Clinic South PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Delta Family Clinic South P.C

  • Adult Mental Health Clinic/Center
  • Flint, MI
  • NPI 1255509832
  NPD tax ID
• Delta Family Clinic South PC

  • Clinical Psychologist
  • Bay City, MI
  • NPI 1902162746
  NPD tax ID

Locations

Practitioners 1

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

• Gerard R. Williams, PHD LP

  • Psychologist
  • Flint, MI
  • NPI 1821158817
  NPD (past)

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1114768884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 S LINDEN RD STE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323443",
            "telephone_number": "810-630-1152",
            "fax_number": "810-630-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S LINDEN RD STE C",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323443",
            "telephone_number": "810-630-1152",
            "fax_number": "810-630-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA FAMILY CLINIC SOUTH P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "BRIANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "810-630-1152"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Renee Deloney
• Shakiya Lenee Deloney
• Bryce McKenzie Delong
• Jessica Delong
• Shannon Marie Delorenzo, LLMSW
• Delta Family Clinic South P.C
• Deltavision Optical Center PC
• Deluxe Dental
• Deluxe Dental Associates PLLC
• Deluxe Healthcare PLLC

• Adult Mental Health Clinic/Center in Flint, MI
• Providers in Flint, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.