Active NPI
Multicultural Resource Agency Inc
- Psychologist
- Detroit, MI
National Provider Identifier
1477666865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- MULTICULTURAL RESOURCE AGENCY INC
- Practice address
- 18615 Norwood Street
Detroit, MI 48234 - Phone
- (313) 368-0000
- Fax
- (313) 366-8489
- NPI assigned
- Aug 17, 2006
- 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
- Mr. Earnest Bradley, MSW CSW ACSW LCSW
- Title
- President Ceo
- Phone
- (313) 368-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
18615 Norwood Street
Detroit, MI 48234
Mailing address
PO Box 34113
Detroit, MI 48234
Phone (313) 368-0000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477666865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34113",
"city": "DETROIT",
"state": "MI",
"postal_code": "48234",
"telephone_number": "313-368-0000",
"fax_number": "313-366-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18615 NORWOOD STREET",
"city": "DETROIT",
"state": "MI",
"postal_code": "48234",
"telephone_number": "313-368-0000",
"fax_number": "313-366-8489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTICULTURAL RESOURCE AGENCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "EARNEST",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "313-368-0000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW CSW ACSW LCSW"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"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 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.