Organization Active NPI

Minds Moving in New Directions Inc

  • Community/Behavioral Health Agency
  • Highland Park, MI
National Provider Identifier
1134502354
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Vicky AveryNPI 1942737853
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.