Active NPI
McKenarld Treatment Center, in.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Redford, MI
National Provider Identifier
1275970709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MCKENARLD TREATMENT CENTER, IN.
- Practice address
- 24801 5 Mile Rd
Suite 19
Redford, MI 48239-3655 - Phone
- (313) 532-4604
- Fax
- (313) 532-4608
- NPI assigned
- May 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bernard Ike Onwuemelie, LMSW, CAADC
- Title
- Executive Director
- Phone
- (313) 532-4604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
24801 5 Mile Rd
Suite 19
Redford, MI 48239-3655
Mailing address
24801 5 Mile Rd
Suite 19
Redford, MI 48239-3655
Phone (313) 532-4604
National Provider Directory
National Provider DirectoryLocations
24801 5 Mile Rd
Ste 19
Redford, MI 48239
Phone (313) 532-4604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369267200000",
"number": "1275970709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24801 5 MILE RD",
"address_2": "SUITE 19",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393655",
"telephone_number": "313-532-4604",
"fax_number": "313-532-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24801 5 MILE RD",
"address_2": "SUITE 19",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393655",
"telephone_number": "313-532-4604",
"fax_number": "313-532-4608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKENARLD TREATMENT CENTER, IN.",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-23",
"last_updated": "2013-05-23",
"status": "A",
"authorized_official_last_name": "ONWUEMELIE",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "IKE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "313-532-4604",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMSW, CAADC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.