NPIMap

Organization Active NPI

Meridian Human Services

  • Group Psychotherapy Psychologist
  • Southfield, MI
National Provider Identifier
1184659773
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
JM063867 Issued in MI
Legal business name
MERIDIAN HUMAN SERVICES
Practice address
25820 Southfield Rd
Ste 107
Southfield, MI 48075-1826
Phone
(248) 559-1763
NPI assigned
Jul 11, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Ms. Joann McGhee, ACSWNPI 1124065263
Title
Ceo
Phone
(248) 599-1763

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
Group Psychotherapy Psychologist 103TP2701X JM063867 MI Primary

Addresses

Primary practice location

25820 Southfield Rd
Ste 107
Southfield, MI 48075-1826

Mailing address

PO Box 74777
Romulus, MI 48174-0777
Phone (248) 559-1763

National Provider Directory

National Provider Directory

Locations

2700 2nd Ave
Ste 212
Detroit, MI 48201
Phone (313) 963-9060

25820 Southfield Rd
Ste 107
Southfield, MI 48075
Phone (248) 559-1763

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1184659773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74777",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481740777",
            "telephone_number": "248-559-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25820 SOUTHFIELD RD",
            "address_2": "STE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751826",
            "telephone_number": "248-559-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-599-1763",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MI",
            "license": "JM063867",
            "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 Oct 10, 2007; 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.