Active NPI
Erik Wilson, GENERAL MANAGER
- Community/Behavioral Health Agency
- Livonia, MI
National Provider Identifier
1326462623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MI-10191M
- Practice address
- 29240 Buckingham St
11
Livonia, MI 48154-4575 - Phone
- (734) 513-2800
- Fax
- (734) 513-3606
- NPI assigned
- Feb 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MI-10191M | MI | Primary |
Addresses
Primary practice location
29240 Buckingham St
11
Livonia, MI 48154-4575
Mailing address
29240 Buckingham
11
Livonia, MI 48154
Phone (734) 513-2800
Other names 1
- Mr. Erik Lamont Wilson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI-10191M | MI | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Solutions, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Livonia, MI
- NPI 1740391481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1326462623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29240 BUCKINGHAM",
"address_2": "11",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-513-2800",
"fax_number": "734-513-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29240 BUCKINGHAM ST",
"address_2": "11",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481544575",
"telephone_number": "734-513-2800",
"fax_number": "734-513-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ERIK",
"credential": "GENERAL MANAGER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-07",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "MI-10191M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIK",
"last_name": "WILSON",
"middle_name": "LAMONT",
"prefix": "MR.",
"credential": "MANAGER",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.