Moriah, Incorporated

Primary specialty

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

Legal business name

MORIAH, INCORPORATED

Doing business as

Eisenhower Center

Practice address

3200 E Eisenhower Pkwy
Ann Arbor, MI 48108-3231

Phone

(734) 677-0070

Fax

(734) 677-0890

NPI assigned

Dec 6, 2007

Last updated

Nov 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanja Taddonio

Title

Billing and Collections Manager

Phone

(734) 677-0070

Specialties & licenses 15

Addresses

Other names 1

• EISENHOWER CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Moriah Incorporated4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Moriah, Incorporated

  • Multi-Specialty Clinic/Center
  • Selfridge Angb, MI
  • NPI 1013585405
  NPD tax ID
• Moriah, Incorporated

  • Developmental Disabilities Clinic/Center
  • Ann Arbor, MI
  • NPI 1982272365
  NPD tax ID
• Moriah, Incorporated

  dba Eisenhower Addiction Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ann Arbor, MI
  • NPI 1992308977
  NPD tax ID

Locations

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Moriah, Incorporated

  • Multi-Specialty Clinic/Center
  • Selfridge Angb, MI
  • NPI 1013585405
  NPPES parent name
• Moriah, Incorporated

  • Developmental Disabilities Clinic/Center
  • Ann Arbor, MI
  • NPI 1982272365
  NPPES parent name
• Moriah, Incorporated

  dba Eisenhower Addiction Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ann Arbor, MI
  • NPI 1992308977
  NPPES parent name

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Droste, PT

  • Physical Therapist
  • Westland, MI
  • NPI 1659869113
  Medicare reassignment Care Compare group NPD
• Paul Yanari Gutterman, MD

  • Psychiatry Physician
  • Monroe, MI
  • NPI 1629140611
  Medicare reassignment Care Compare group NPD
• Camilla Meade, RDN

  • Registered Dietitian
  • Ann Arbor, MI
  • NPI 1558885699

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Linda Kay Perkins, MA CCC SLP

  • Speech-Language Pathologist
  • Jackson, MI
  • NPI 1609457472
  Medicare reassignment Care Compare group NPD
• Jacqueline Tiernan, OTRL

  • Occupational Therapist
  • Ann Arbor, MI
  • NPI 1912660689
  Medicare reassignment Care Compare group NPD
• Deborah Lynn Adams, LMSW

  • Social Worker
  • Ann Arbor, MI
  • NPI 1053730234
  Medicare reassignment Care Compare group
• Melissa Ann Winkler, LMSW

  • Clinical Social Worker
  • Adrian, MI
  • NPI 1881987030
  Medicare reassignment NPD
• Michelle Kristin Klaty, DPT

  • Physical Therapist
  • Grand Blanc, MI
  • NPI 1114104601
  Medicare reassignment
• Ernest Poortinga, M.D.

  • Forensic Psychiatry Physician
  • Saline, MI
  • NPI 1922104421
  Medicare reassignment
• Renee Francine Clemons, DNP, RN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Detroit, MI
  • NPI 1659858223
  NPD
• Marcel Bellamy

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1316798143
  NPD (past)
• Lauri Ann McVeigh, LPC

  • Professional Counselor
  • Grosse Pointe Farms, MI
  • NPI 1760659304
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1558544130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E EISENHOWER PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083231",
            "telephone_number": "734-677-0070",
            "fax_number": "734-677-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E EISENHOWER PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083231",
            "telephone_number": "734-677-0070",
            "fax_number": "734-677-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3879 Packard St Unit B",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082011",
            "country_code": "US",
            "telephone_number": "734-412-6485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORIAH, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "TADDONIO",
        "authorized_official_first_name": "TANJA",
        "authorized_official_title_or_position": "BILLING AND COLLECTIONS MANAGER",
        "authorized_official_telephone_number": "734-677-0070"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "AL810015274",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0810348",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EISENHOWER CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EISENHOWER CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Freemont Morgan, D.O.
• Sara Morgan
• Sara Marie Morgan, LLP
• Todd Matthew Morgan, MD
• Lewis B Morgenstern, MD
• Moriah, Incorporated
• Moriah, Incorporated (Eisenhower Addiction Recovery Center)
• Michael Kevin Moriarty, MSW
• Jasmine Morigney-Jatta, PHD
• Aki Morikawa, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ann Arbor, MI
• Providers in Ann Arbor, 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 Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.