Athletic Scholars

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ATHLETIC SCHOLARS

Doing business as

Athletic Scholars

Practice address

16909 Prairie St
Detroit, MI 48221-2916

Phone

(313) 699-1207

NPI assigned

Aug 8, 2025

Last updated

Aug 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donell Sutgrey

Title

Director

Phone

(313) 699-1207

Specialties & licenses 1

Addresses

Other names 1

• Athletic Scholars Doing business as

Practitioners 1

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.

• Kimberly Mouzon

  • Community Health Worker
  • Detroit, MI
  • NPI 1144109372
  NPD

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1194600114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 PRAIRIE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212916",
            "telephone_number": "313-699-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 PRAIRIE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212916",
            "telephone_number": "313-699-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC SCHOLARS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "SUTGREY",
        "authorized_official_first_name": "DONELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-699-1207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athletic Scholars",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Atanasiu
• Jenny G Atas, M.D.
• Ataska Care Service
• Jazmine Ateman
• Shobana Athimulam, MBBS
• Athletico LTD (Athletico Physical Therapy)
• Athomecare4Seniors
• Andrew Atisha, DMD
• Neveen Atisha
• Sara Atisha

• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.