Henry Ford Health System
Organization Active NPI Psychiatry Physician · Detroit, MI
NPI 1245300078 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1245300078
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 830190 (MI)
- Legal business name
- HENRY FORD HEALTH SYSTEM
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-2600
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. James Connelly
- Title
- Sr VP Cfo
- Phone
- (313) 876-8714
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Henry for Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | 830190 | MI | Yes |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680H21247 | Other | MI | CLINICAL PSYCHOLOGIST |
Other providers in Detroit, MI
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
All providers in Detroit, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.