Active NPI
Development Centers
- Psychiatry Physician
- Detroit, MI
National Provider Identifier
1356744106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DEVELOPMENT CENTERS
- Practice address
- 24424 W McNichols Rd
Detroit, MI 48219-3653 - Phone
- (313) 255-0900
- NPI assigned
- Oct 7, 2014
- Last updated
- Oct 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine L Liesman, PH.D.
- Title
- Chief Executive Officer
- Phone
- (313) 531-2500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
24424 W McNichols Rd
Detroit, MI 48219-3653
Mailing address
17421 Telegraph Rd
Detroit, MI 48219-3165
Phone (313) 531-2500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P94406 | Other | BLUE CARE NETWORK | |
| 800H217310 | Other | BCBS - CSW GROUP | |
| 750910618 | Other | BCBSM STATE EMPL ADULT | |
| 260Q276040 | Other | BCBS - DOCTOR GROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.develctrs@direct.mihin.net | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Tax ID family
- Development Centers Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Detroit, MI
- NPI 1710145818
-
- Psychiatry Physician
- Detroit, MI
- NPI 1922970995
Locations
17421 Telegraph Rd
Detroit, MI 48219
Phone (313) 255-0900
6900 McGraw St
Detroit, MI 48210
Phone (313) 895-2860
Interoperability endpoints
- pcerecords.develctrs@direct.mihin.net
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571356800000",
"number": "1356744106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17421 TELEGRAPH RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193165",
"telephone_number": "313-531-2500",
"fax_number": "313-255-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24424 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482193653",
"telephone_number": "313-255-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPMENT CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-07",
"last_updated": "2019-10-18",
"status": "A",
"authorized_official_last_name": "LIESMAN",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "313-531-2500",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P94406",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - CSW GROUP",
"identifier": "800H217310",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM STATE EMPL ADULT",
"identifier": "750910618",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - DOCTOR GROUP",
"identifier": "260Q276040",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.develctrs@direct.mihin.net",
"affiliation": "N",
"endpointDescription": "PCE EMR Direct Mailing Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "17421 Telegraph Rd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482193165",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 18, 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.