Organization Active NPI

Different Approach Wellness Center

  • Family Medicine Physician
  • Southfield, MI
National Provider Identifier
1386358885
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIFFERENT APPROACH WELLNESS CENTER
Practice address
20905 Greenfield Rd Ste 701M
Southfield, MI 48075-5356
Phone
(313) 536-3040
Fax
(313) 536-3041
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Thera Terres Radney, NP
Title
NP/Owner
Phone
(313) 536-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

20905 Greenfield Rd Ste 701M
Southfield, MI 48075-5356

Mailing address

20905 Greenfield Rd Ste 701M
Southfield, MI 48075-5356
Phone (313) 536-3040

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2273700Different Approach Wellness Center20905 Greenfield Road Suite 701 M, Southfield, MI 48075Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory

Locations

20905 Greenfield Rd
Ste 701M
Southfield, MI 48075
Phone (313) 536-3040

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1386358885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 701M",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755356",
            "telephone_number": "313-536-3040",
            "fax_number": "313-536-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 701M",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755356",
            "telephone_number": "313-536-3040",
            "fax_number": "313-536-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIFFERENT APPROACH WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "RADNEY",
        "authorized_official_first_name": "THERA",
        "authorized_official_middle_name": "TERRES",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "313-536-3040",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.