Organization Active NPI

Starfish Family Services

  • Community/Behavioral Health Agency
  • Livonia, MI
National Provider Identifier
1508112657
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801092146 Issued in MI
Legal business name
STARFISH FAMILY SERVICES
Practice address
18316 Middlebelt Rd
Livonia, MI 48152-5007
Phone
(248) 615-9730
NPI assigned
Jul 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Sherry Degrazia, LLMSW
Title
Therapist
Phone
(248) 615-9730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801092146 MI Primary

Addresses

Primary practice location

18316 Middlebelt Rd
Livonia, MI 48152-5007

Mailing address

29583 Orangelawn St
Livonia, MI 48150-3032
Phone (248) 615-9730

Other names 1

  • Lifespan Clinical Services Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1508112657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29583 ORANGELAWN ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503032",
            "telephone_number": "248-615-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18316 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481525007",
            "telephone_number": "248-615-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "DEGRAZIA",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "248-615-9730",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801092146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifespan Clinical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.