J&E Pickens Family,LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

J&E PICKENS FAMILY,LLC

Practice address

39245 Nottingham St
Westland, MI 48186-3729

Phone

(734) 992-7212

Fax

(734) 629-4773

NPI assigned

Feb 17, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Pickens

Title

Owner

Phone

(734) 992-7212

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1497294805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39245 NOTTINGHAM ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481863729",
            "telephone_number": "734-992-7212",
            "fax_number": "734-629-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39245 NOTTINGHAM ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481863729",
            "telephone_number": "734-992-7212",
            "fax_number": "734-629-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&E PICKENS FAMILY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-992-7212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497294805.",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Westland, MI
• Providers in Westland, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.