Organization Active NPI

Lincoln Behavioral Services

  • Family Medicine Physician
  • Redford, MI
National Provider Identifier
1356987762
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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

13940 Tireman St
Detroit, MI 48228
Phone (313) 581-9070

27595 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 425-3777

27521 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 422-4444

14500 N Sheldon Rd
Ste 160B
Plymouth, MI 48170
Phone (734) 459-5590

24425 Plymouth Rd
Redford, MI 48239
Phone (313) 450-0411

24435 Plymouth Rd
Redford, MI 48239
Phone (313) 450-0400

9329 Telegraph Rd
Redford, MI 48239
Phone (313) 937-9500

11677 Beech Daly Rd
Redford, MI 48239
Phone (313) 937-9500

Practitioners & affiliated clinicians

Practitioners 82

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

View all 82

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.

Verify at the official NPI Registry.