NPIMap

Organization Active NPI

Pro Med Management Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelby TWP, MI
National Provider Identifier
1477590917
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PRO MED MANAGEMENT INC
Practice address
53950 Van Dyke Ave
Ste 210B
Shelby TWP, MI 48316
Phone
(586) 781-8400
Fax
(586) 781-8300
NPI assigned
Jun 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Karl Lawrence Senkowski, LMSWNPI 1649361494
Title
President Ceo
Phone
(586) 781-8400

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

53950 Van Dyke Ave
Ste 210B
Shelby TWP, MI 48316

Mailing address

53950 Van Dyke Ave
Ste 210B
Shelby TWP, MI 48316
Phone (586) 781-8400

National Provider Directory

National Provider Directory

Locations

1760 S Telegraph Rd
Ste 106
Bloomfield, MI 48302
Phone (248) 858-7140

8623 N Wayne Rd
Ste 300
Westland, MI 48185
Phone (734) 261-2172

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477590917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53950 VAN DYKE AVE",
            "address_2": "STE 210B",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48316",
            "telephone_number": "586-781-8400",
            "fax_number": "586-781-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53950 VAN DYKE AVE",
            "address_2": "STE 210B",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48316",
            "telephone_number": "586-781-8400",
            "fax_number": "586-781-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SENKOWSKI",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "586-781-8400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.