NPIMap

Organization Active NPI

Institute of Supportive Services, Inc.

  • Methadone Clinic
  • Detroit, MI
National Provider Identifier
1124491170
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
INSTITUTE OF SUPPORTIVE SERVICES, INC.
Practice address
12400 E 7 Mile Rd
Detroit, MI 48205-2155
Phone
(313) 948-8630
Fax
(313) 345-3755
NPI assigned
Nov 12, 2015
Last updated
Nov 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Mr. Marvin Arnold, MS/P, CCS, SST, CADC
Title
Executive Director
Phone
(313) 948-8630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X MI Primary

Addresses

Primary practice location

12400 E 7 Mile Rd
Detroit, MI 48205-2155

Mailing address

12400 E 7 Mile Rd
Detroit, MI 48205-2155
Phone (313) 948-8630

National Provider Directory

National Provider Directory
Tax ID family
Institute of Supportive Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1124491170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052155",
            "telephone_number": "313-948-8630",
            "fax_number": "313-345-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052155",
            "telephone_number": "313-948-8630",
            "fax_number": "313-345-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF SUPPORTIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-948-8630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS/P, CCS, SST, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 12, 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.