Organization Active NPI

Oakwood Child and Adolesecent Health Care Centers

Doing business as Oakwood Teen Centers, LLC

  • Student Health Clinic/Center
  • Taylor, MI
National Provider Identifier
1245418151
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
OAKWOOD CHILD AND ADOLESECENT HEALTH CARE CENTERS
Doing business as
Oakwood Teen Centers, LLC
Practice address
20352 Eureka Rd.
Oakwood Teen Health Center-Taylor
Taylor, MI 48180-4835
Phone
(734) 942-2273
NPI assigned
Feb 1, 2008
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Matthew E Cox
Title
Chief Financial Officer
Phone
(947) 522-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

20352 Eureka Rd.
Oakwood Teen Health Center-Taylor
Taylor, MI 48180-4835

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone (947) 522-1963

Other names 1

  • Oakwood Teen Centers, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@directbeaumont.org

National Provider Directory

National Provider Directory
Tax ID family
Oakwood Child and Adolesecent Health Care Centers5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

19275 Northline Rd
Ste C
Southgate, MI 48195

20352 Eureka Rd
#Teen
Taylor, MI 48180
Phone (734) 942-2273

26650 Eureka Rd
Ste B
Taylor, MI 48180
Phone (734) 955-3900

Interoperability endpoints

  • Direct secure messaging: direct@directbeaumont.org

Practitioners & affiliated clinicians

Practitioners 1

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": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1245418151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20352 EUREKA RD.",
            "address_2": "OAKWOOD TEEN HEALTH CENTER-TAYLOR",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804835",
            "telephone_number": "734-942-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD CHILD AND ADOLESECENT HEALTH CARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "947-522-3333"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@directbeaumont.org",
            "affiliation": "N",
            "address_1": "20352 Eureka Rd.",
            "address_2": "Corewell Health Teen Health Center-Taylor",
            "city": "Taylor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Oakwood Teen Centers, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oakwood Teen Centers, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.