Active NPI
Dorita Delmara Brown, CPSS
- Peer Specialist
- Detroit, MI
National Provider Identifier
1396564308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 3426 Mack Ave
Detroit, MI 48207-2315 - Phone
- (248) 251-9135
- NPI assigned
- Oct 7, 2024
- Last updated
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MI | Primary |
Addresses
Primary practice location
3426 Mack Ave
Detroit, MI 48207-2315
Mailing address
8726 Woodward Ave
Detroit, MI 48202-2135
Phone (313) 833-2500
Other practice location 1
1200 N Telegraph Rd Dept 32E
Pontiac, MI 48341-1032
Phone (800) 231-1127
Other practice location 2
1600 Porter St
Detroit, MI 48216-1936
Phone (313) 963-6601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1396564308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8726 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022135",
"telephone_number": "313-833-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3426 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482072315",
"telephone_number": "248-251-9135"
}
],
"practiceLocations": [
{
"address_1": "1200 N Telegraph Rd Dept 32E",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483411032",
"country_code": "US",
"telephone_number": "800-231-1127",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Porter St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482161936",
"country_code": "US",
"telephone_number": "313-963-6601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "DORITA",
"middle_name": "DELMARA",
"credential": "CPSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.