NPIMap

Organization Active NPI

Care and Transformation Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sterling Heights, MI
National Provider Identifier
1174866073
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6401009738 Issued in MI
Legal business name
CARE AND TRANSFORMATION CENTER
Practice address
2311 15 Mile Rd
Sterling Heights, MI 48310-6462
Phone
(586) 983-9280
Fax
(586) 275-0612
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Dr. Haitham A Safo, LPCNPI 1124392071
Title
Founder and Presedent
Phone
(313) 283-7981

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6401009738 MI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6401009738 MI Primary
Adult Mental Health Clinic/Center 261QM0850X 6401009738 MI
Adolescent and Children Mental Health Clinic/Center 261QM0855X 6401009738 MI

Addresses

Primary practice location

2311 15 Mile Rd
Sterling Heights, MI 48310-6462

Mailing address

2311 15 Mile Rd
Sterling Heights, MI 48310-4842
Phone (586) 983-9280

Other identifiers 1

IdentifierTypeStateIssuer
1124392071OtherMIINDIVIDULE NPI

Other names 1

  • CTC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150701000204 MI Part B Supplier - Clinic/Group Practice 7214249424 Receives reassigned benefits from 6 practitioners
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory
Tax ID family
Care and Transformation Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1174866073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104842",
            "telephone_number": "586-983-9280",
            "fax_number": "586-275-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106462",
            "telephone_number": "586-983-9280",
            "fax_number": "586-275-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AND TRANSFORMATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "SAFO",
        "authorized_official_first_name": "HAITHAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER AND PRESEDENT",
        "authorized_official_telephone_number": "313-283-7981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401009738",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6401009738",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6401009738",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6401009738",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDULE NPI",
            "identifier": "1124392071",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.