Organization Active NPI

Arboretum Contemporary Psychodynamics, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
National Provider Identifier
1538833660
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ARBORETUM CONTEMPORARY PSYCHODYNAMICS, LLC
Practice address
4807 Commonwealth St
Detroit, MI 48208-2227
Phone
(313) 355-0534
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Jacalyn HardenNPI 1780105841
Title
Principal
Phone
(313) 355-0534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4807 Commonwealth St
Detroit, MI 48208-2227

Mailing address

4807 Commonwealth St
Detroit, MI 48208-2227
Phone (313) 355-0534

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ArboretumCP@pm.me

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1538833660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 COMMONWEALTH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082227",
            "telephone_number": "313-355-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 COMMONWEALTH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082227",
            "telephone_number": "313-355-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBORETUM CONTEMPORARY PSYCHODYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "JACALYN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "313-355-0534"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ArboretumCP@pm.me",
            "affiliation": "N",
            "address_1": "4807 Commonwealth St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482082227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.