Active NPI
Andrea Anita Dodson, CPPS
- Peer Specialist
- Detroit, MI
National Provider Identifier
1285105072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1413 Field St
Detroit, MI 48214-2321 - Phone
- (313) 347-2070
- Fax
- (313) 921-7978
- NPI assigned
- Dec 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
1413 Field St
Detroit, MI 48214-2321
Mailing address
1413 Field St
Detroit, MI 48214-2321
Phone (313) 347-2070
Other practice location 1
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone (248) 436-4476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Well-Being Services | Past | Accepting new patients | |
| Adult Well Being Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Detroit, MI
- NPI 1023353984
-
- Psychiatry Physician
- Detroit, MI
- NPI 1679663546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1285105072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 FIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142321",
"telephone_number": "313-347-2070",
"fax_number": "313-921-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 FIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142321",
"telephone_number": "313-347-2070",
"fax_number": "313-921-7978"
}
],
"practiceLocations": [
{
"address_1": "27777 Inkster Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483345326",
"country_code": "US",
"telephone_number": "248-436-4476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODSON",
"first_name": "ANDREA",
"middle_name": "ANITA",
"credential": "CPPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.