Organization Active NPI

Spaulding for Children

  • Case Management Agency
  • Southfield, MI
National Provider Identifier
1386748853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SPAULDING FOR CHILDREN
Practice address
16250 Northland Drive
Suite 120
Southfield, MI 48075
Phone
(248) 443-7080
Fax
(248) 443-7099
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Addie Delane Williams, LMSW CLINICAL MACRO
Title
President Ceo
Phone
(248) 443-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

16250 Northland Drive
Suite 120
Southfield, MI 48075

Mailing address

16250 Northland Drive
Suite 120
Southfield, MI 48075
Phone (248) 443-7080

Other identifiers 1

IdentifierTypeStateIssuer
1612OtherMICOMMUNITY MENTAL HEALTH

National Provider Directory

National Provider Directory

Locations

16250 Northland Dr
Ste 120
Southfield, MI 48075
Phone (248) 443-7080

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386748853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DRIVE",
            "address_2": "SUITE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-443-7080",
            "fax_number": "248-443-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DRIVE",
            "address_2": "SUITE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-443-7080",
            "fax_number": "248-443-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAULDING FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ADDIE",
        "authorized_official_middle_name": "DELANE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "248-443-7080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW CLINICAL MACRO"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY MENTAL HEALTH",
            "identifier": "1612",
            "state": "MI"
        }
    ],
    "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 Aug 22, 2020; 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.