Organization Active NPI

Programs to Educate All Cyclists

Doing business as Peac

  • Voluntary or Charitable Agency
  • Ypsilanti, MI
National Provider Identifier
1407244601
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PROGRAMS TO EDUCATE ALL CYCLISTS
Doing business as
Peac
Practice address
110 N River St
Ypsilanti, MI 48198-2807
Phone
(734) 484-2758
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
John Patrick Waterman
Title
Executive Director
Phone
(734) 658-8347

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MI
Voluntary or Charitable Agency 251V00000X MI Primary

Addresses

Primary practice location

110 N River St
Ypsilanti, MI 48198-2807

Mailing address

110 N River St
Ypsilanti, MI 48198-2807
Phone (734) 484-2758

Other practice location 1

2160 Fort St
Lincoln Park, MI 48146-2405
Phone (734) 484-2758

Other names 1

  • PEAC Doing business as

National Provider Directory

National Provider Directory

Locations

2160 Fort St
Lincoln Park, MI 48146
Phone (734) 484-2758

110 N River St
Ypsilanti, MI 48198
Phone (734) 484-2758

32 N Washington St
Ste 1
Ypsilanti, MI 48197
Phone (734) 210-0116

Practitioners & affiliated clinicians

Practitioners 2

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": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1407244601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N RIVER ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481982807",
            "telephone_number": "734-484-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N RIVER ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481982807",
            "telephone_number": "734-484-2758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 Fort St",
            "address_purpose": "LOCATION",
            "city": "Lincoln Park",
            "state": "MI",
            "postal_code": "481462405",
            "country_code": "US",
            "telephone_number": "734-484-2758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRAMS TO EDUCATE ALL CYCLISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-658-8347"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEAC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.