Oakwood Child and Adolesecent Health Care Centers

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

OAKWOOD CHILD AND ADOLESECENT HEALTH CARE CENTERS

Practice address

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

Phone

(734) 942-2273

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Addresses

Other identifiers 12

Other names 1

• Oakwood Teen Centers, LLC Doing business as

Electronic endpoints 1

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.

• Oakwood Child and Adolesecent Health Care Centers

  • Adolescent and Children Mental Health Clinic/Center
  • Westland, MI
  • NPI 1265632590
  NPD tax ID
• Oakwood Healthcare Group II, LLC

  • Ambulatory Family Planning Facility
  • Southgate, MI
  • NPI 1548307945
  NPD tax ID
• Oakwood Healthcare Group II, LLC

  • Internal Medicine Physician
  • Harper Woods, MI
  • NPI 1770380917
  NPD tax ID
• Oakwood Romulus Adolescent Health Center

  • Adolescent and Children Mental Health Clinic/Center
  • Romulus, MI
  • NPI 1730355959
  NPD tax ID

Locations

Practitioners 1

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

• Melissa Ann Peura, NP

  • Nurse Practitioner
  • Westland, MI
  • NPI 1285729681
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699754226",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861462632",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891765327",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B.C.B.S. MI",
            "identifier": "080H221710",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326019076",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831191576",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083708200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245237551",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386624591",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548307945",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578500724",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD MI",
            "identifier": "500H201890",
            "state": "MI"
        }
    ],
    "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"
        }
    ]
}

• Mark Alan Nugent, M.D.
• Martesa O'Neal
• Oakcrest Dental Center, PC
• Oakland Eyewear
• Oakwood Ambulatory, LLC
• Oakwood Group IX
• Oakwood Healthcare Inc
• Oakwood Healthcare Inc
• Oakwood Healthcare Inc
• Oakwood Healthcare, Inc.

• Student Health Clinic/Center in Taylor, MI
• Providers in Taylor, MI by specialty
• Student Health Clinic/Center in Michigan

• 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.