Center for Eating Disorder Assessment Recovery & Support LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CENTER FOR EATING DISORDER ASSESSMENT RECOVERY & SUPPORT LLC

Doing business as

CEDARS Group

Practice address

1750 S Telegraph Rd Ste 102
Bloomfield Hills, MI 48302-0177

Phone

(248) 654-8026

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Kristine Vazzano, PHD

Title

Co-Founder, Clinical Director

Phone

(248) 654-8026

Specialties & licenses 1

Addresses

Other names 1

• CEDARS Group Doing business as

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1306327119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020177",
            "telephone_number": "248-654-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020177",
            "telephone_number": "248-654-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EATING DISORDER ASSESSMENT RECOVERY & SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "VAZZANO",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CO-FOUNDER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "248-654-8026",
        "authorized_official_credential": "PHD"
    },
    "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": [
        {
            "organization_name": "CEDARS Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CEDARS Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.