J & J Autism Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

J & J AUTISM CENTER

Doing business as

J & J Autism Center

Practice address

17550 Southfield Fwy
Detroit, MI 48235

Phone

(313) 739-8233

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Audrey Venise Utley

Title

Owner

Phone

(313) 739-8233

Specialties & licenses 1

Addresses

Other names 1

• J & J Autism Center Doing business as

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1528809449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21795",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482210795",
            "telephone_number": "313-739-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17550 SOUTHFIELD FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235",
            "telephone_number": "313-739-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "VENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-739-8233"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & J Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ravi Iyer, M.D.
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• Alexis Brianne Izzi, PA-C
• J . Porter Services LLC
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• J Y Dental DMD PLLC
• J. Lewis Development Corporation

• Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.