NPIMap

Organization Active NPI

Positive Images

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1407079882
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
821843 Issued in MI
Legal business name
POSITIVE IMAGES
Practice address
694 E Grand Blvd
Detroit, MI 48207-2526
Phone
(313) 822-6940
Fax
(313) 822-6946
NPI assigned
Apr 11, 2007
Last updated
May 6, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
POSITIVE IMAGESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Ms. Maisha Kenyatta, LMSWNPI 1629157474
Title
Executive Director
Phone
(313) 822-6940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 821843 MI Primary

Addresses

Primary practice location

694 E Grand Blvd
Detroit, MI 48207-2526

Mailing address

13340 E Warren Ave
Detroit, MI 48215-2112
Phone (313) 822-6940

Other names 1

  • Positive Images 3 Other name

National Provider Directory

National Provider Directory
Part of
Positive Images

Locations

694 E Grand Blvd
Detroit, MI 48207
Phone (313) 702-1301

700 E Grand Blvd
#2
Detroit, MI 48207
Phone (313) 702-1301

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1407079882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152112",
            "telephone_number": "313-822-6940",
            "fax_number": "313-822-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072526",
            "telephone_number": "313-822-6940",
            "fax_number": "313-822-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE IMAGES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POSITIVE IMAGES",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "KENYATTA",
        "authorized_official_first_name": "MAISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-822-6940",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "821843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Images 3",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 6, 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.