Active NPI
Minds Moving in New Directions Inc
- Community/Behavioral Health Agency
- Highland Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MINDS MOVING IN NEW DIRECTIONS INC
- Practice address
- 62 Massachusetts St
Highland Park, MI 48203 - Phone
- (313) 883-3300
- Fax
- (313) 731-0156
- NPI assigned
- Jul 7, 2015
- Last updated
- Aug 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicky Avery
- Title
- Executive Director
- Phone
- (313) 883-3300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
62 Massachusetts St
Highland Park, MI 48203
Mailing address
62 Massachusetts St
Highland Park, MI 48203-3537
Phone (313) 883-3300
Other practice location 1
13560 E McNichols Rd
Detroit, MI 48205
Phone (313) 883-3300 ext. 31328
Other practice location 2
13560 E McNichols Rd
Detroit, MI 48205
Phone (313) 883-3300 ext. 31328
National Provider Directory
National Provider DirectoryLocations
17800 Woodward Ave
Detroit, MI 48203
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Prevention Professional
- Detroit, MI
- NPI 1942737853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565308800000",
"number": "1134502354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MASSACHUSETTS ST",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482033537",
"telephone_number": "313-883-3300",
"fax_number": "313-731-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 MASSACHUSETTS ST",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "48203",
"telephone_number": "313-883-3300",
"fax_number": "313-731-0156"
}
],
"practiceLocations": [
{
"address_1": "13560 E McNichols Rd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48205",
"country_code": "US",
"telephone_number": "313-883-3300 x31328",
"fax_number": "313-731-0156",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13560 E McNichols Rd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48205",
"country_code": "US",
"telephone_number": "313-883-3300 x31328",
"fax_number": "313-731-0156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MINDS MOVING IN NEW DIRECTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2019-08-09",
"status": "A",
"authorized_official_last_name": "AVERY",
"authorized_official_first_name": "VICKY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "313-883-3300"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.