Organization Active NPI

Family Therapy and Recovery Associates, LLC

Doing business as Ftra

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1407107154
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801017027 Issued in MI
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

Updated by the provider on Oct 21, 2016

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1316046220OtherMINPI-1

Other names 1

  • FTRA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.