Organization Active NPI

Amir Executives

  • Professional Counselor
  • Southfield, MI
National Provider Identifier
1164526380
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401001831 Issued in MI
Legal business name
AMIR EXECUTIVES
Practice address
19111 West Ten Mile Road
Suite 203
Southfield, MI 48075-2443
Phone
(248) 945-0200
Fax
(248) 945-0204
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Dr. Allen Cushingberry, PSY.D.
Title
Ceo
Phone
(248) 945-0200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 6401001831 MI Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 6801062749 MI

Addresses

Primary practice location

19111 West Ten Mile Road
Suite 203
Southfield, MI 48075-2443

Mailing address

19111 West Ten Mile Road
Suite 203
Southfield, MI 48075-2443
Phone (248) 945-0200

National Provider Directory

National Provider Directory

Locations

16000 W 9 Mile Rd
Ste 505
Southfield, MI 48075
Phone (248) 423-7275

16000 W 9 Mile Rd
Ste 5
Southfield, MI 48075
Phone (248) 945-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1164526380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 WEST TEN MILE ROAD",
            "address_2": "SUITE 203",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752443",
            "telephone_number": "248-945-0200",
            "fax_number": "248-945-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 WEST TEN MILE ROAD",
            "address_2": "SUITE 203",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752443",
            "telephone_number": "248-945-0200",
            "fax_number": "248-945-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR EXECUTIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "CUSHINGBERRY",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-945-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401001831",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.