Active NPI
Mary Estelle Alleyne, M.ED. ART THERAPY
- Art Therapist
- Birmingham, MI
National Provider Identifier
1184955445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- A450587235841
- Practice address
- 1669 W Maple Rd
Birmingham, MI 48009-1230 - Phone
- (248) 646-4480
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | A450587235841 | MI | Primary |
Addresses
Primary practice location
1669 W Maple Rd
Birmingham, MI 48009-1230
Mailing address
18681 Stoepel St
Detroit, MI 48221-2250
Phone (313) 443-5607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A450587235841 | MI | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Variety Far Conservatory | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Birmingham, MI
- NPI 1053566398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1184955445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18681 STOEPEL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482212250",
"telephone_number": "313-443-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1669 W MAPLE RD",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091230",
"telephone_number": "248-646-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEYNE",
"first_name": "MARY",
"middle_name": "ESTELLE",
"name_prefix": "Miss",
"credential": "M.ED. ART THERAPY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "MI",
"license": "A450587235841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.