NPIMap

Organization Active NPI

Spectrum Child and Family Services

  • Case Management Agency
  • Detroit, MI
National Provider Identifier
1245407873
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SPECTRUM CHILD AND FAMILY SERVICES
Practice address
7430 2ND Ave
Detroit, MI 48202-2739
Phone
(313) 456-6036
NPI assigned
May 13, 2008
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECTRUM HUMAN SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Shirley Edwards, LMSW
Title
Executive Director
Phone
(734) 458-8736

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 821956 MI

Addresses

Primary practice location

7430 2ND Ave
Detroit, MI 48202-2739

Mailing address

28303 Joy Rd
Westland, MI 48185-5524
Phone (734) 458-8736

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Human Services Inc4 organizations share this tax ID, including this one
Part of
Spectrum Human Services Inc

Other organizations with this tax ID 3

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

Locations

7430 2nd Ave
Detroit, MI 48202
Phone (313) 456-6036

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1245407873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28303 JOY RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481855524",
            "telephone_number": "734-458-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022739",
            "telephone_number": "313-456-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CHILD AND FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HUMAN SERVICES INC.",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-458-8736",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "821956",
            "primary": false
        }
    ],
    "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 May 13, 2008; 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.