Active NPI
Center for Exceptional Families
- Developmental Disabilities Clinic/Center
- Dearborn, MI
National Provider Identifier
1154776201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- License
- SY061207
- Legal business name
- CENTER FOR EXCEPTIONAL FAMILIES
- Practice address
- 18501 Rotunda Dr Ste 200
Dearborn, MI 48124-3891 - Phone
- (313) 996-1960
- NPI assigned
- Apr 26, 2016
- Organization subpart
- Yes
- Parent organization
- BEAUMONT DEARBORN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Ann Odom
- Title
- President Shared Services
- Phone
- (947) 522-3322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | SY061207 | MI | Primary |
Addresses
Primary practice location
18501 Rotunda Dr Ste 200
Dearborn, MI 48124-3891
Mailing address
26901 Beaumont Blvd
Compliance
Southfield, MI 48033-3849
Phone (947) 522-1964
National Provider Directory
National Provider Directory- Part of
- Annapolis Hos
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1154776201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD",
"address_2": "COMPLIANCE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18501 ROTUNDA DR STE 200",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243891",
"telephone_number": "313-996-1960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR EXCEPTIONAL FAMILIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BEAUMONT DEARBORN",
"enumeration_date": "2016-04-26",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A",
"authorized_official_last_name": "ODOM",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT SHARED SERVICES",
"authorized_official_telephone_number": "947-522-3322"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "MI",
"license": "SY061207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.