The Healing Palace Inc

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

THE HEALING PALACE INC

Doing business as

Fathers' First

Practice address

818 Trombley Rd
Grosse Pointe Park, MI 48230-1880

Phone

(313) 459-6707

NPI assigned

Oct 10, 2014

Last updated

Nov 10, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

THE HEALING PALACE INCAs reported in NPPES

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

Authorized official

Name

Chontay Taylor, PMHNP-BC

Title

Founder

Phone

(313) 459-6707

Specialties & licenses 8

Addresses

Other names 1

• Fathers' First Doing business as

Part of

The Healing Palace Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Healing Palace Inc

  dba Divine Interventions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grosse Pointe Woods, MI
  • NPI 1407020993
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chontay Glenn, PHD, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grosse Pointe Woods, MI
  • NPI 1164631727
  NPD

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1285038885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 TROMBLEY RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 TROMBLEY RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301880",
            "telephone_number": "313-459-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING PALACE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALING PALACE INC",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHONTAY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "313-459-6707",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fathers' First",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sumus, LLC (Airway Management)
• Debra Sutherland, CCC-SLP
• Swift Care Courier Services LLC (Swift Care Services)
• Lindsay Taylor, LMSW
• The Grosse Pointe Medical Group, PLLC
• The Lactation Network, LLC
• Therapeutic Connections Counseling Services, PLLC
• Robin Sam Thomas, MD
• Deimoni Meaeija Tinsley
• William R. Tuuri, M.D.

• Addiction (Substance Use Disorder) Psychologist in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Addiction (Substance Use Disorder) Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.