Collective Mind

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLLECTIVE MIND

Practice address

7596 Macomb St Ste 13
Grosse Ile, MI 48138-2205

Phone

(734) 308-9537

NPI assigned

Feb 29, 2024

Last updated

Mar 8, 2024By 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

Ms. Megan Kathleen Reedy, LMSWNPI 1841865235

Title

Director

Phone

(734) 308-9537

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Megan Kathleen Reedy, LMSW

  • Clinical Social Worker
  • Grosse Ile, MI
  • NPI 1841865235
  Medicare reassignment NPD Authorized official
• Brittany Ahmad

  • Clinical Social Worker
  • Eastpointe, MI
  • NPI 1376107136
  Medicare reassignment NPD
• Maria Isabel Nicely, LMSW

  • Clinical Social Worker
  • Grosse Ile, MI
  • NPI 1235280017
  Medicare reassignment NPD

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1114784774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7596 MACOMB ST STE 13",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382205",
            "telephone_number": "734-308-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7596 MACOMB ST STE 13",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481382205",
            "telephone_number": "734-308-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-308-9537",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly T Morris DDS PC
• Brittany Burns
• Janice Marie Caie-Lawrence, ARNP
• Wayne A Chambers, M.D.
• Madison Catherine Champnella
• Community Renovations Inc.
• Crawford Chiropractic Clinic PLLC
• Christine Jennifer Crawford, D.C.
• Jonathan Michael Cugini, LMSW
• Sheryl A Czopek, RN

• Clinical Social Worker in Grosse Ile, MI
• Providers in Grosse Ile, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.