Prestige Behavioral Partial & Memory Care Center Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRESTIGE BEHAVIORAL PARTIAL & MEMORY CARE CENTER INC

Practice address

250 N Wayne Rd
Westland, MI 48185-3626

Phone

(888) 676-6768

Fax

(888) 794-6717

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Diane King

Title

Owner

Phone

(248) 470-5644

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1538607668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480370247",
            "telephone_number": "888-676-6768",
            "fax_number": "888-794-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853626",
            "telephone_number": "888-676-6768",
            "fax_number": "888-794-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7177 Miller Dr",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480921699",
            "country_code": "US",
            "telephone_number": "248-470-5644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESTIGE BEHAVIORAL PARTIAL & MEMORY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-470-5644"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Visiting Physicians, PC
• Premier Health Internal Medicine & Pediatrics, PLLC
• Premier Health Urgent Care PLLC
• Premier Urgent Care of Westland PC
• Presbyterian Village Westland
• Cynthia Wade Price
• Primacare Mental Health & Consultation
• Primacare, L.L.C.
• Primacare, LLC
• Primary Care Plus, PLLC

• Clinical Social Worker in Westland, MI
• Providers in Westland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.