NPIMap

Organization Active NPI

Circle of Life Psychiatric Hospital

  • Psychiatric Hospital
  • Ann Arbor, MI
National Provider Identifier
1205973922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
4704072446 Issued in MI
Legal business name
CIRCLE OF LIFE PSYCHIATRIC HOSPITAL
Practice address
403 Village Green Blvd
Apt 106
Ann Arbor, MI 48105-3612
Phone
(734) 332-8624
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pamela Lamb
Title
Coo
Phone
(313) 245-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 4704072446 MI Primary

Addresses

Primary practice location

403 Village Green Blvd
Apt 106
Ann Arbor, MI 48105-3612

Mailing address

15000 Gratiot Ave
Detroit, MI 48205-1973

National Provider Directory

National Provider Directory
Tax ID family
Circle of Life3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205973922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 VILLAGE GREEN BLVD",
            "address_2": "APT 106",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053612",
            "telephone_number": "734-332-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE PSYCHIATRIC HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "313-245-0600"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MI",
            "license": "4704072446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.