Generations Wellness Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GENERATIONS WELLNESS CENTER INC

Practice address

26803 Ryan Rd
Warren, MI 48091-4075

Phone

(586) 477-7472

Fax

(586) 262-1011

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Roman John Kolodchin, PHD

Title

Ceo

Phone

(586) 477-7472

Specialties & licenses 1

Addresses

Other names 1

• Safehaus Inc Other name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Curtis Gradie Leipold, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarkston, MI
  • NPI 1801552336
  NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1225755440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26803 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914075",
            "telephone_number": "586-477-7472",
            "fax_number": "586-262-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26803 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914075",
            "telephone_number": "586-477-7472",
            "fax_number": "586-262-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "KOLODCHIN",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-477-7472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "safejaus123.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26803 Ryan Rd",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480914075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Safehaus Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Safehaus Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elora Danan Gee
• Danielle Gehlert, DDS
• Elizabeth Genaw, PHARMD
• Gene Caicco,D.P.M., PLC
• Generations Wellness Center
• Genie Physical Therapy, LLC
• Gentle Dental Warren PLLC
• Gentle Hearts Home Care
• Gentle Touch Home Health Care Inc
• Shanice Gentle

• Mental Health Clinic/Center (Including Community Mental Health Center) in Warren, MI
• Providers in Warren, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.