Symmetry Wellness Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SYMMETRY WELLNESS SERVICES

Practice address

35870 Sherborne Dr
Clinton Township, MI 48035-2757

Phone

(586) 224-4595

NPI assigned

Jun 15, 2021

Last updated

Nov 12, 2021By 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

Miss Tracey Louise GreenNPI 1295136729

Title

Secretary

Phone

(586) 330-0779

Specialties & licenses 5

Addresses

Electronic endpoints 1

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.

• Tracey Louise Green, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
  • NPI 1295136729
  Authorized official Same address or phone

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1427626563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51382 GRATIOT AVE # 1018",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512035",
            "telephone_number": "586-330-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35870 SHERBORNE DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352757",
            "telephone_number": "586-224-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35870 Sherborne Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480352757",
            "country_code": "US",
            "telephone_number": "586-330-0779",
            "fax_number": "586-204-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYMMETRY WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-11-12",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "586-330-0779",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@symmetry-wellness.com",
            "affiliation": "N",
            "endpointDescription": "business email/website",
            "address_1": "35870 Sherborne Dr",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480352757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan Swetech, D.O.
• Maria Stephanie Swetech
• Stephen Michael Swetech, DO
• Judith Ann Swiderski, RN
• Kerry Symes, MA CCC SLP
• Synergy Pharmacy LLC
• John C Szczesniak
• Kara Nicole Szczomak, PA-C
• Adam Szeliga, PHARMD
• Courtney Claire Tabenske, LMSW

• Adult Mental Health Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.