Active NPI
Family Therapy and Recovery Associates, LLC
Doing business as Ftra
- Clinical Social Worker
- Royal Oak, MI
National Provider Identifier
1407107154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801017027
- Legal business name
- FAMILY THERAPY AND RECOVERY ASSOCIATES, LLC
- Doing business as
- Ftra
- Practice address
- 217 Knowles St
Suite 260
Royal Oak, MI 48067-2767 - Phone
- (248) 760-2672
- NPI assigned
- Sep 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Joseph Muzzi, LMSW, CAADC
- Title
- Resident Agent
- Phone
- (248) 760-2672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801017027 | MI | Primary |
Addresses
Primary practice location
217 Knowles St
Suite 260
Royal Oak, MI 48067-2767
Mailing address
217 Knowles St
Suite 260
Royal Oak, MI 48067-2767
Phone (248) 760-2672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316046220 | Other | MI | NPI-1 |
Other names 1
- FTRA
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Birmingham, MI
- NPI 1407034085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477008000000",
"number": "1407107154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 KNOWLES ST",
"address_2": "SUITE 260",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672767",
"telephone_number": "248-760-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 KNOWLES ST",
"address_2": "SUITE 260",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672767",
"telephone_number": "248-760-2672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY THERAPY AND RECOVERY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-20",
"last_updated": "2016-10-21",
"status": "A",
"authorized_official_last_name": "MUZZI",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "RESIDENT AGENT",
"authorized_official_telephone_number": "248-760-2672",
"authorized_official_credential": "LMSW, CAADC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801017027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-1",
"identifier": "1316046220",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FTRA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.