Common Ground

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

4704157745 Issued in MI

Legal business name

COMMON GROUND

Practice address

1200 Telegraph Rd
Pontiac, MI 48341

Phone

(248) 541-3522

NPI assigned

Jun 25, 2014

Organization subpart

No

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

Authorized official

Name

Lorrayne Carless

Title

Manager

Phone

(586) 995-3861

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1164837431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N TELEGRAPH RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 TELEGRAPH RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-541-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "CARLESS",
        "authorized_official_first_name": "LORRAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-995-3861"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MI",
            "license": "4704157745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "4704157745",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Collins, MD
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• Common Ground
• Common Ground
• Common Ground
• Common Ground
• Common Ground
• Common Ground
• Common Ground Santuary
• Community Bridges Management, Inc.

• Psychiatric Residential Treatment Facility in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Psychiatric Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.