Michigan Institute for Prevention Intervention

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6301005272 Issued in MI

Legal business name

MICHIGAN INSTITUTE FOR PREVENTION INTERVENTION

Practice address

18530 Mack Ave
101
Grosse Pointe Farms, MI 48236-3254

Phone

(313) 579-9468

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jackie Moore

Title

Director

Phone

(313) 579-9468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1477762474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18530 MACK AVE",
            "address_2": "101",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363254",
            "telephone_number": "313-579-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18530 MACK AVE",
            "address_2": "101",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363254",
            "telephone_number": "313-579-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INSTITUTE FOR PREVENTION INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-579-9468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301005272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McNichols X-Ray Clinic PC
• Lauri Ann McVeigh, LPC
• Lisa A Medoff, PH.D.
• Hannah Meier
• Jennifer Kuester Mertz, D.D.S., M.S.
• Jamaria Minor
• Anne Moigis, LPC
• Christie L Morgan, M.D.
• Julie Toth Morgan, MSW
• Lyndsey Muklewicz, NP

• Community/Behavioral Health Agency in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.