Organization Active NPI

Skylar'S Healer

  • Multi-Specialty Clinic/Center
  • Detroit, MI
National Provider Identifier
1205647195
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SKYLAR'S HEALER
Practice address
4439 Fischer St
Detroit, MI 48214-1267
Phone
(313) 469-3018
NPI assigned
Jan 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Authorized official

Name
Kwame Chappell-Robinson
Title
Ceo
Phone
(313) 469-3018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4439 Fischer St
Detroit, MI 48214-1267

Mailing address

4439 Fischer St
Detroit, MI 48214-1267
Phone (313) 469-3018

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737158400000",
    "number": "1205647195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 FISCHER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482141267",
            "telephone_number": "313-469-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 FISCHER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482141267",
            "telephone_number": "313-469-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLAR'S HEALER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL-ROBINSON",
        "authorized_official_first_name": "KWAME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-469-3018"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.