Open Minds Ann Arbor, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801099213 Issued in MI

Legal business name

OPEN MINDS ANN ARBOR, LLC

Practice address

2890 Carpenter Rd Ste 1500
Ann Arbor, MI 48108-1196

Phone

(734) 506-8318

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

Michelle Avery Ferguson, LMSW

Title

Licensed Clinical Social Worker

Phone

(734) 506-8318

Specialties & licenses 1

Addresses

Other names 1

• Open Minds Ann Arbor, LLC Doing business as

Locations

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": "1326520115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD STE 1500",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081196",
            "telephone_number": "734-506-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD STE 1500",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081196",
            "telephone_number": "734-506-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MINDS ANN ARBOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "AVERY FERGUSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "734-506-8318",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Minds Ann Arbor, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abimifoluwa Onifade
• Melissa Ontko
• Rebecca Chinyere Onyesohu, RN
• Joseph Ugochukwu Opara, CRNA
• Open Mind Therapy PLC
• Annemarie Opipari, MD
• Anthony William Opipari Jr., MD
• Valerie Paula Opipari, MD
• Optalis Ann Arbor Opco LLC
• Yetunde Orafidiya, MD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker 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.