Organization Active NPI

Catholic Charities of South Eastern Michigan

  • Community/Behavioral Health Agency
  • Waterford, MI
National Provider Identifier
1376972299
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401013632 Issued in MI
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

Updated by the provider on Nov 1, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.