Benevolent Health Care Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BENEVOLENT HEALTH CARE CLINIC

Practice address

23999 Northwestern Hwy
Ste 114
Southfield, MI 48075-2578

Phone

(248) 910-7972

NPI assigned

Mar 22, 2014

Last updated

Mar 22, 2014By 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

Tomika Black

Title

Business Administrator

Phone

(248) 910-7972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395446400000",
    "number": "1144647686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19436 LAUDER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23999 NORTHWESTERN HWY",
            "address_2": "STE 114",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752578",
            "telephone_number": "248-910-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT HEALTH CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-03-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TOMIKA",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "248-910-7972"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilynn Yvette Bembry
• Ben-Ami Psychiatry and Psychotherapy (Ben-Ami Psychiatry)
• Joy Sebastiana Panti Benavidez, RPT
• Saundra Elizabeth Bender, LLMSW
• Morgan Elizabeth Benedict I
• Dasha Monae Benford
• Shelby Benham
• Benjamin H Stein OD Inc
• Rachel Benjamin, PSYD, LP
• Victoria Benjamin

• Specialist in Southfield, MI
• Providers in Southfield, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; 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.