NPIMap

Organization Active NPI

Ceirra Adult Day Center

  • Adult Mental Health Clinic/Center
  • Southfield, MI
National Provider Identifier
1174014500
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CEIRRA ADULT DAY CENTER
Practice address
16309 Harden Cir
Southfield, MI 48075-3022
Phone
(248) 388-8935
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Jeannette GordonNPI 1386904936
Title
Ceo
Phone
(248) 388-8935

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
Adult Mental Health Clinic/Center 261QM0850X MI Primary

Addresses

Primary practice location

16309 Harden Cir
Southfield, MI 48075-3022

Mailing address

16309 Harden Cir
Southfield, MI 48075-3022

National Provider Directory

National Provider Directory

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": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1174014500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16309 HARDEN CIR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16309 HARDEN CIR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753022",
            "telephone_number": "248-388-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEIRRA ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-388-8935"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "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 May 22, 2018; 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.