NPIMap

Organization Active NPI

Downriver Mental Health Clinic

  • Multi-Specialty Clinic/Center
  • Clarkston, MI
National Provider Identifier
1407987449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DOWNRIVER MENTAL HEALTH CLINIC
Practice address
6770 Dixie Hwy
Suite 312
Clarkston, MI 48346-2087
Phone
(248) 922-2300
Fax
(248) 922-2304
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia F Beach, LMSW ACSW BCD
Title
Provider Relations
Phone
(248) 213-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6770 Dixie Hwy
Suite 312
Clarkston, MI 48346-2087

Mailing address

20600 Eureka Rd
Suite 819
Taylor, MI 48180-5343
Phone (734) 285-2828

Other identifiers 1

IdentifierTypeStateIssuer
7509205910OtherMIBCBS SA

Other names 1

  • Advanced Counseling Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Counseling Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6770 Dixie Hwy
Ste 312
Clarkston, MI 48346
Phone (248) 922-2300

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407987449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20600 EUREKA RD",
            "address_2": "SUITE 819",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805343",
            "telephone_number": "734-285-2828",
            "fax_number": "734-281-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY",
            "address_2": "SUITE 312",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462087",
            "telephone_number": "248-922-2300",
            "fax_number": "248-922-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "248-213-0501",
        "authorized_official_credential": "LMSW ACSW BCD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SA",
            "identifier": "7509205910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.