Downriver Mental Health Clinic PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DOWNRIVER MENTAL HEALTH CLINIC PC

Practice address

7300 Dixie Hwy
Suite 1000
Clarkston, MI 48346-5103

Phone

(248) 922-2300

Fax

(248) 922-2304

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Patricia F Beach, LMSW ACSW BCD

Title

Provider Relations

Phone

(248) 213-0504

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Advanced Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130

  O20040505000533

  Same enrollment
• Downriver Mental Health Clinic PC

  • Psychologist
  • Brighton, MI
  • NPI 1225165715

  O20040505000533

  Same enrollment
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135

  O20040505000533

  Same enrollment
• Downriver Mental Health Clinic PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southfield, MI
  • NPI 1346378981

  O20040505000533

  Same enrollment
• Downriver Mental Health Clinic PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Clair Shores, MI
  • NPI 1598893141

  O20040505000533

  Same enrollment
• Downriver Mental Health Clinic PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, MI
  • NPI 1700915071

  O20040505000533

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Toccara Bailey

  • Clinical Social Worker
  • Mount Clemens, MI
  • NPI 1568813871
  NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1508994237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20600 EUREKA RD",
            "address_2": "SUITE 819",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805343",
            "telephone_number": "734-285-8282",
            "fax_number": "734-281-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 DIXIE HWY",
            "address_2": "SUITE 1000",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465103",
            "telephone_number": "248-922-2300",
            "fax_number": "248-922-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER MENTAL HEALTH CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "248-213-0504",
        "authorized_official_credential": "LMSW ACSW BCD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN STATE OF MI",
            "identifier": "188705000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "511213",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "101039",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "BM820042",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "004241F3",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4449395",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEAMSTERS",
            "identifier": "4441275",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7509109010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francis Michael Donnelly, PHD
• Olivia Donnelly, LLMSW
• Allison Danielle Dougherty, LPC
• Sandra Dougherty, LMSW
• Downriver Mental Health Clinic
• Asha Downs, D.O.
• DPT Holdings LLC
• Dragonflyaway LLC
• Kathleen Shelley Dreisbach, RBT
• Carin Marie Drenikowski, LMT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.