NPIMap

Organization Active NPI

Passion of Mind Healing Center

  • Methadone Clinic
  • Monroe, MI
National Provider Identifier
1285089466
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
PASSION OF MIND HEALING CENTER
Practice address
14930 Laplaisance Rd Ste 127
Monroe, MI 48161-3878
Phone
(734) 344-5269
Fax
(734) 430-8188
NPI assigned
Apr 26, 2016
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Sarah BlairNPI 1356736599
Title
Board Member
Phone
(734) 344-5269

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

14930 Laplaisance Rd Ste 127
Monroe, MI 48161-3878

Mailing address

1335 N Roessler St
Monroe, MI 48162-2855
Phone (734) 915-0981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Opioid treatment program
Medicare-enrolled since Mar 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612001051 MI Part B Supplier - Opioid Treatment Program (Otp) 3971836198 Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

14930 Laplaisance Rd
Ste 1
Monroe, MI 48161
Phone (734) 241-9574

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1285089466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N ROESSLER ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622855",
            "telephone_number": "734-915-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 LAPLAISANCE RD STE 127",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613878",
            "telephone_number": "734-344-5269",
            "fax_number": "734-430-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION OF MIND HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "734-344-5269"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.