NPIMap

Organization Active NPI

Detroit Wayne County Community Mental Health Agency

  • Public Health or Welfare Agency
  • Detroit, MI
National Provider Identifier
1457524415
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DETROIT WAYNE COUNTY COMMUNITY MENTAL HEALTH AGENCY
Practice address
640 Temple St
Detroit, MI 48201-2599
Phone
(313) 833-2410
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Michele Reid, M.D.
Title
Medical Director
Phone
(313) 833-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

640 Temple St
Detroit, MI 48201-2599

Mailing address

640 Temple Rd
Detroit, MI 48201

National Provider Directory

National Provider Directory
Tax ID family
Wayne Cty HLTH Dept11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

640 Temple St
Detroit, MI 48201
Phone (313) 344-9099

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1457524415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 TEMPLE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TEMPLE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012599",
            "telephone_number": "313-833-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT WAYNE COUNTY COMMUNITY MENTAL HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-833-2410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.