NPIMap

Organization Active NPI

Detroit Wayne Mental Health Authority

  • Intellectual & Developmental Disabilities Psychologist
  • Detroit, MI
National Provider Identifier
1497179170
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
DETROIT WAYNE MENTAL HEALTH AUTHORITY
Practice address
707 W. Milwaukee
3Rd Floor Finance
Detroit, MI 48202-2599
Phone
(313) 344-9099
NPI assigned
Feb 14, 2014
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Mrs. Stacie Durant, CPA
Title
Chif Financial Officer
Phone
(313) 344-9099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU Primary

Addresses

Primary practice location

707 W. Milwaukee
3Rd Floor Finance
Detroit, MI 48202-2599

Mailing address

707 W. Milwaukee
3Rd Floor Finance
Detroit, MI 48202-2599

National Provider Directory

National Provider Directory
Tax ID family
Detroit Wayne Mental Health Authority3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1497179170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W. MILWAUKEE",
            "address_2": "3RD FLOOR FINANCE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W. MILWAUKEE",
            "address_2": "3RD FLOOR FINANCE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022599",
            "telephone_number": "313-344-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT WAYNE MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "CHIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "313-344-9099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "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 Oct 28, 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.