Organization Active NPI

Foundation Thoughts

  • Psychiatric/Mental Health Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1225701683
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FOUNDATION THOUGHTS
Doing business as
foundation thoughts
Practice address
29781 Spring Hill Dr
Southfield, MI 48076-1859
Phone
(248) 252-0531
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Shiba Nixon
Title
Provider
Phone
(313) 550-9605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

29781 Spring Hill Dr
Southfield, MI 48076-1859

Mailing address

19785 W 12 Mile Rd # 644
Southfield, MI 48076-2584
Phone (248) 252-0531

Other names 1

  • foundation thoughts Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1225701683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 W 12 MILE RD # 644",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762584",
            "telephone_number": "248-252-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29781 SPRING HILL DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761859",
            "telephone_number": "248-252-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION THOUGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "SHIBA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "313-550-9605"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "foundation thoughts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 24, 2021; 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.