Organization Active NPI

Berkley Holistic Alternative LLC

  • Pain Clinic/Center
  • Berkley, MI
National Provider Identifier
1457770505
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
5401000178 Issued in MI
Legal business name
BERKLEY HOLISTIC ALTERNATIVE LLC
Practice address
2965 W 12 Mile Rd
Suite 200
Berkley, MI 48072-1436
Phone
(248) 210-1895
NPI assigned
Apr 15, 2014
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Matthew Sweeney, L.ACNPI 1518206184
Title
Acupuncturist
Phone
(248) 210-1895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 5401000178 MI Primary

Addresses

Primary practice location

2965 W 12 Mile Rd
Suite 200
Berkley, MI 48072-1436

Mailing address

1050 Seneca Rd
Lake Orion, MI 48362-1349
Phone (248) 210-1895

National Provider Directory

National Provider Directory

Locations

2965 W 12 Mile Rd
Ste 200
Berkley, MI 48072
Phone (248) 210-1895

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1457770505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SENECA RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621349",
            "telephone_number": "248-210-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 W 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721436",
            "telephone_number": "248-210-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKLEY HOLISTIC ALTERNATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "248-210-1895",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MI",
            "license": "5401000178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.