NPIMap

Organization Active NPI

Kadima Jewish Support Services for Adults With Mental Illness

  • Community/Behavioral Health Agency
  • Southfield, MI
National Provider Identifier
1184836082
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KADIMA JEWISH SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS
Practice address
15999 West 12 Mile Road
Southfield, MI 48382
Phone
(248) 559-8235
Fax
(248) 423-9318
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Ms. Janette ShallalNPI 1801955802
Title
Executive Director
Phone
(248) 559-8235

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15999 West 12 Mile Road
Southfield, MI 48382

Mailing address

15999 W 12 Mile Rd
Southfield, MI 48076-7159
Phone (248) 559-8235

National Provider Directory

National Provider Directory

Locations

15999 W 12 Mile Rd
Southfield, MI 48076
Phone (248) 559-0229

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1184836082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15999 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767159",
            "telephone_number": "248-559-8235",
            "fax_number": "248-423-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15999 WEST 12 MILE ROAD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-559-8235",
            "fax_number": "248-423-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADIMA JEWISH SUPPORT SERVICES FOR ADULTS WITH MENTAL ILLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "SHALLAL",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-559-8235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Aug 11, 2010; 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.