Organization Active NPI

Integrated Cognitive Rehabilitation

  • Rehabilitation Clinic/Center
  • Royal Oak, MI
National Provider Identifier
1134410335
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
INTEGRATED COGNITIVE REHABILITATION
Practice address
627 E 11 Mile Rd
Suit 110
Royal Oak, MI 48067-1961
Phone
(248) 721-9938
NPI assigned
Apr 22, 2011
Last updated
Apr 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Fatima Kadi
Title
Owner
Phone
(248) 721-9938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

627 E 11 Mile Rd
Suit 110
Royal Oak, MI 48067-1961

Mailing address

627 E 11 Mile Rd
Suit 110
Royal Oak, MI 48067-1961
Phone (248) 721-9938

National Provider Directory

National Provider Directory

Locations

627 E 11 Mile Rd
Ste 110
Royal Oak, MI 48067
Phone (248) 721-9938

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1134410335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 E 11 MILE RD",
            "address_2": "SUIT 110",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671961",
            "telephone_number": "248-721-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 E 11 MILE RD",
            "address_2": "SUIT 110",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671961",
            "telephone_number": "248-721-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COGNITIVE REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "KADI",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-721-9938"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.