NPIMap

Organization Active NPI

Easter Seals

  • Community/Behavioral Health Agency
  • Southfield, MI
National Provider Identifier
1376968461
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6301015758 Issued in MI
Legal business name
EASTER SEALS
Practice address
24445 Northwestern Hwy
Suite 100
Southfield, MI 48075-6501
Phone
(248) 483-7804
Fax
(248) 483-7868
NPI assigned
Feb 26, 2014
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Shayla GlassNPI 1669953444
Title
Behavioral Health Clinician
Phone
(248) 763-2399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6301015758 MI Primary

Addresses

Primary practice location

24445 Northwestern Hwy
Suite 100
Southfield, MI 48075-6501

Mailing address

24445 Northwestern Hwy
Suite 100
Southfield, MI 48075-6501

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1376968461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24445 NORTHWESTERN HWY",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24445 NORTHWESTERN HWY",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756501",
            "telephone_number": "248-483-7804",
            "fax_number": "248-483-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "248-763-2399"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301015758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.