Institute of Supportive Services, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

INSTITUTE OF SUPPORTIVE SERVICES, INC.

Practice address

19940 Conant St Ste Abc
Detroit, MI 48234-1494

Phone

(313) 733-4528

Fax

(313) 733-4532

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Arnold

Title

Executive Director

Phone

(313) 733-4528

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Institute of Supportive Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Institute of Supportive Services, Inc.

  • Methadone Clinic
  • Detroit, MI
  • NPI 1124491170
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khawar Aslam Chaudhry, M.D.

  • Internal Medicine Physician
  • Wayne, MI
  • NPI 1538422548
  Medicare reassignment NPD
• Marcella Ruth Clark, MD

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1902028913
  Medicare reassignment NPD
• Jennifer Rose Robinson, MD

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1740568377
  Medicare reassignment NPD
• Angela Lynn Roman, APRN, BC, FNP

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1235196023
  Medicare reassignment NPD
• Andrew J Ruden

  • General Practice Physician
  • Wixom, MI
  • NPI 1881717049
  Medicare reassignment NPD
• Zakari Tata, MD

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1871591313
  Medicare reassignment NPD
• Deborah Mitchell

  • Social Worker
  • Detroit, MI
  • NPI 1760640254

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1346613403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19940 CONANT ST STE ABC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341494",
            "telephone_number": "313-733-4528",
            "fax_number": "313-733-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19940 CONANT ST STE ABC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341494",
            "telephone_number": "313-733-4528",
            "fax_number": "313-733-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF SUPPORTIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-733-4528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "SA0823269",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "MI",
            "license": "SA0823269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Population Health Inc.
• Institute for Population Health Inc.
• Institute for Population Health, Inc.
• Institute of Neuromuscular Medicine
• Institute of Supportive Services, Inc.
• Integral Psychiatric and Recovery Services
• Integrated Wellness
• Integrative Home Health Palliative & Hospice Care, LLC
• Intentional Care Service
• International Cuisine LLC

• Methadone Clinic in Detroit, MI
• Providers in Detroit, MI by specialty
• Methadone Clinic in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.