Thedoshia Carter Afc#1

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

THEDOSHIA CARTER AFC#1

Practice address

8505 Plymouth Rd
Detroit, MI 48204-1905

Phone

(313) 933-1956

Fax

(313) 933-1956

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Thedoshia Carter

Title

Provider

Phone

(313) 933-1956

Specialties & licenses 1

Addresses

Tax ID family

Carter'S Adult Care Facilities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carter'S Adult Care Facilities

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Detroit, MI
  • NPI 1992897557
  NPD tax ID

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447336573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041905",
            "telephone_number": "313-933-1956",
            "fax_number": "313-933-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041905",
            "telephone_number": "313-933-1956",
            "fax_number": "313-933-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEDOSHIA CARTER AFC#1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "THEDOSHIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "313-933-1956",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wellness Plan Medical Centers
• The Wellness Plan Medical Centers
• The Wellness Plan Medical Centers
• The Wellness Plan Medical Centers
• R Chase Thebault, M.D.
• Marvin John Theile, C.T.R.S.
• Brian Kevin Theisen, M.D.
• Rebecca Lauren Theisen, MD
• Jet Thepsongwajja, M.D.
• Theramatrix, Inc.

• Intellectual & Developmental Disabilities Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Intellectual & Developmental Disabilities Psychologist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.