Organization Active NPI

Peak Therapy LLC

  • Adult Mental Health Clinic/Center
  • Northville, MI
National Provider Identifier
1245747609
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6401014963 Issued in MI
Legal business name
PEAK THERAPY LLC
Practice address
18270 Cascade Dr
Northville, MI 48168-3287
Phone
(734) 776-7738
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Jeanine M Madsen, THERAPIST, MANPI 1700287851
Title
Owner
Phone
(734) 776-7738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6401014963 MI Primary

Addresses

Primary practice location

18270 Cascade Dr
Northville, MI 48168-3287

Mailing address

18270 Cascade Dr
Northville, MI 48168-3287
Phone (734) 776-7738

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1245747609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18270 CASCADE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683287",
            "telephone_number": "734-776-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18270 CASCADE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683287",
            "telephone_number": "734-776-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-776-7738",
        "authorized_official_credential": "THERAPIST, MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6401014963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.