Organization Active NPI

Inner City Family Services Detroit LLC

  • Community/Behavioral Health Agency
  • Grosse Pointe, MI
National Provider Identifier
1417836644
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNER CITY FAMILY SERVICES DETROIT LLC
Practice address
17894 Mack Ave Ste a
Grosse Pointe, MI 48230-6250
Phone
(313) 909-9590
NPI assigned
Sep 1, 2025
Organization subpart
Yes
Parent organization
INNER CITY FAMILY SERVICES DETROIT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Mr. Raul Wikkeling
Title
Chief Operating Officer
Phone
(917) 916-6801

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

17894 Mack Ave Ste a
Grosse Pointe, MI 48230-6250

Mailing address

17894 Mack Ave Ste a
Grosse Pointe, MI 48230-6250
Phone (313) 909-9590

National Provider Directory

National Provider Directory
Part of
Inner City Family Services Detroit LLC

Locations

17894 Mack Ave
Ste A
Grosse Pointe, MI 48230
Phone (313) 909-9590

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1417836644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17894 MACK AVE STE A",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306250",
            "telephone_number": "313-909-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17894 MACK AVE STE A",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306250",
            "telephone_number": "313-909-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CITY FAMILY SERVICES DETROIT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNER CITY FAMILY SERVICES DETROIT LLC",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "WIKKELING",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "917-916-6801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.