Sequoia Recovery Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

630950 Issued in MI

Legal business name

SEQUOIA RECOVERY SERVICES

Practice address

363 W Huron St
Pontiac, MI 48341-1423

Phone

(248) 745-6940

Fax

(248) 745-6922

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Ira Ferrell I, CAC IINPI 1548477409

Title

Ceo

Phone

(248) 745-6940

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Paul Ira Ferrell II, B.A

  • Case Manager/Care Coordinator
  • Pontiac, MI
  • NPI 1548477409
  NPD (past) Authorized official
• Tyra L Bueno, BA, CAC1

  • Addiction (Substance Use Disorder) Counselor
  • Pontiac, MI
  • NPI 1528277431
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417073339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411423",
            "telephone_number": "248-745-6940",
            "fax_number": "248-745-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411423",
            "telephone_number": "248-745-6940",
            "fax_number": "248-745-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-745-6940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "CAC II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "630950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705289",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Select Specialty Hospital - Pontiac Inc
• Bridgette Sellers, RN, BSN, RYT
• Marisa Ariel Seltzer, LMSW
• Jennifer Robert Semaan, DO
• Mohamed Mostafa Seoudi, MD
• Serenity Rehabilitation Center, Inc
• William M. Serote, D.O.
• Daniel Servito, FNP
• Timothy P Sesi, M.D.
• Luke W Seuffer

• Substance Abuse Rehabilitation Facility in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• 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.