The Children's Center

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

THE CHILDREN'S CENTER

Practice address

79 W. Alexandrine
Detroit, MI 48201

Phone

(313) 831-5535

Fax

(313) 831-2608

NPI assigned

Jul 26, 2017

Last updated

Jul 21, 2022By 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

Dominique DawsonNPI 1225529902

Title

Intern

Phone

(313) 831-5535

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417471947. Details of each certification follow.

• CCN 231963 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 231963

Legal name

THE CHILDREN'S DENTAL CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 23, 2012

Last certification

Feb 23, 2012

Ownership / control type

Non-profit – church related

Facility address

79 West Alexandrine Street
Detroit, MI 48201

Practitioners 1

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.

• Dominique Rashawnda Dawson

  • Mental Health Counselor
  • Detroit, MI
  • NPI 1225529902
  Authorized official Same address or phone

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417471947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W ALEXANDRINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012015",
            "telephone_number": "313-831-5535",
            "fax_number": "313-831-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W. ALEXANDRINE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-831-5535",
            "fax_number": "313-831-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "313-831-5535"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Bay at Elmwood Health and Rehabilitation Center, LLC
• The Bay at Woodward Health and Rehabilitation Center, LLC
• The Birthing Practice LLC
• The Bridge House LLC (The Bridge House Independent Living)
• The Center for Urban Youth and Family Development
• The Children's Center of Wayne Co., Inc.
• The Children's Center of Wayne Co., Inc.
• The Children's Center of Wayne Co., Inc.
• The Children's Center of Wayne Co., Inc.
• The Children's Lighthouse Foundation

• Adolescent and Children Mental Health Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Adolescent and Children Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.