Active NPI
Inner City Family Services Detroit LLC
- Community/Behavioral Health Agency
- Grosse Pointe, MI
National Provider Identifier
1417836644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grosse Pointe, MI
- NPI 1558107276
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Washington, DC
- NPI 1861185258
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.