Active NPI
Berkley Holistic Alternative LLC
- Pain Clinic/Center
- Berkley, MI
National Provider Identifier
1457770505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 5401000178
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Sweeney, L.AC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Acupuncturist
- Berkley, MI
- NPI 1518206184
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.