Active NPI
Lincoln Behavioral Services
- Family Medicine Physician
- Redford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LINCOLN BEHAVIORAL SERVICES
- Practice address
- 9315 Telegraph Rd
Redford, MI 48239-1260 - Phone
- (313) 450-4500
- Fax
- (313) 450-4512
- NPI assigned
- Nov 20, 2019
- Last updated
- Nov 4, 2024
- 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
- Julie Ann Wood
- Title
- Credentialing Specialist
- Phone
- (313) 450-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9315 Telegraph Rd
Redford, MI 48239-1260
Mailing address
9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 450-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312000689 | MI | Part B Supplier - Clinic/Group Practice | 7113816612 |
Receives reassigned benefits from 41 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Plymouth, MI; Redford, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
5840 N Canton Center Rd
Canton, MI 48187
Phone (734) 366-1665
5840 N Canton Center Rd
Ste 218
Canton, MI 48187
Phone (734) 459-5590
23400 Michigan Ave
Ste P24
Dearborn, MI 48124
Phone (313) 562-6730
13940 Tireman St
Detroit, MI 48228
Phone (313) 581-9070
27521 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 422-4444
27595 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 425-3777
14500 N Sheldon Rd
Ste 160B
Plymouth, MI 48170
Phone (734) 459-5590
11677 Beech Daly Rd
Redford, MI 48239
Phone (313) 937-9500
24425 Plymouth Rd
Redford, MI 48239
Phone (313) 450-0411
24435 Plymouth Rd
Redford, MI 48239
Phone (313) 450-0400
9315 Telegraph Rd
Redford, MI 48239
Phone (313) 937-9500
Practitioners & affiliated clinicians
Practitioners 84
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.
-
- Psychiatry Physician
- Redford, MI
- NPI 1790955219
-
- Psychiatry Physician
- Bloomfield Hills, MI
- NPI 1992742597
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Pontiac, MI
- NPI 1740349620
-
- Physician Assistant
- Redford, MI
- NPI 1134588254
-
- Adult Health Nurse Practitioner
- Southfield, MI
- NPI 1386642791
-
- Clinical Social Worker
- Westland, MI
- NPI 1013200476
-
- Mental Health Counselor
- Redford, MI
- NPI 1023433042
-
- Mental Health Counselor
- Redford, MI
- NPI 1891116638
-
- Other Technician
- Detroit, MI
- NPI 1255739751
-
- Clinical Social Worker
- Detroit, MI
- NPI 1427173558
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1992754980
-
- Physician Assistant
- Ann Arbor, MI
- NPI 1821398660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1356987762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9315 TELEGRAPH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391260",
"telephone_number": "313-450-4500",
"fax_number": "313-450-4514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9315 TELEGRAPH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391260",
"telephone_number": "313-450-4500",
"fax_number": "313-450-4512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN BEHAVIORAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-20",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "313-450-4500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.