Dearborn Clinical Associates

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

DEARBORN CLINICAL ASSOCIATES

Practice address

2312 Monroe St
Dearborn, MI 48124-3010

Phone

(313) 561-1098

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles J Snyder, MSWNPI 1467628768

Title

Owner/Partner

Phone

(313) 561-1098

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Charles James Snyder, LMSW

  • Mental Health Counselor
  • Dearborn, MI
  • NPI 1467628768
  NPD (past) Authorized official
• Kathleen A Fitzpatrick, LMSW

  • Marriage & Family Therapist
  • Dearborn, MI
  • NPI 1427225416
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265519631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243010",
            "telephone_number": "313-561-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243010",
            "telephone_number": "313-561-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN CLINICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "313-561-1098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.