Alliancenet

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6301002014 Issued in MI

Legal business name

ALLIANCENET

Practice address

6330 Bloomfield Glens Rd
West Bloomfield, MI 48322-2513

Phone

(248) 217-1677

Fax

(248) 626-3759

NPI assigned

Dec 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth L Wolf, PH.D.NPI 1316318413

Title

Director

Phone

(248) 217-1677

Specialties & licenses 1

Addresses

Other names 1

• Incident Management Team Doing business as

Practitioners 1

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

• Kenneth Wolf, PH.D

  • Clinical Psychologist
  • West Bloomfield, MI
  • NPI 1316318413
  NPD (past) Authorized official

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1245533124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 BLOOMFIELD GLENS RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222513",
            "telephone_number": "248-217-1677",
            "fax_number": "248-626-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 BLOOMFIELD GLENS RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222513",
            "telephone_number": "248-217-1677",
            "fax_number": "248-626-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCENET",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-217-1677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301002014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Incident Management Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcus Allen, R.D.H.
• Allergy & Asthma, P. C.
• Alliance Physician Services of Michigan, P.C.
• Alliance Physician Services of Michigan, P.C.
• Alliance Physician Services of Michigan, P.C.
• Allied Surgeons, P.C.
• Alan Simon Alnajjar
• Elias G Alqazaha, DC
• Alsaidi Perio Center, PLC
• Abdel-Ghany Alsaidi, DDS. MS

• All providers in West Bloomfield, MI
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.