Active NPI
Catholic Charities of South Eastern Michigan
- Community/Behavioral Health Agency
- Waterford, MI
National Provider Identifier
1376972299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6401013632
- Legal business name
- CATHOLIC CHARITIES OF SOUTH EASTERN MICHIGAN
- Practice address
- 6637 Highland Rd
Waterford, MI 48327-1675 - Phone
- (248) 666-8780
- NPI assigned
- Nov 1, 2013
- 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
- Mr. Cody Barnwell Kearse, LLPC
- Title
- Mental Health Counselor
- Phone
- (248) 918-3422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6401013632 | MI | Primary |
Addresses
Primary practice location
6637 Highland Rd
Waterford, MI 48327-1675
Mailing address
3354 Prairie Ave
Royal Oak, MI 48073-6578
Phone (248) 918-3422
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383264000000",
"number": "1376972299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3354 PRAIRIE AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736578",
"telephone_number": "248-918-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6637 HIGHLAND RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483271675",
"telephone_number": "248-666-8780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC CHARITIES OF SOUTH EASTERN MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A",
"authorized_official_last_name": "KEARSE",
"authorized_official_first_name": "CODY",
"authorized_official_middle_name": "BARNWELL",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "248-918-3422",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LLPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6401013632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.