Organization Active NPI

Center of Behavioral Therapy, Inc.

  • Clinic/Center
  • Livonia, MI
National Provider Identifier
1568903268
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
820734 Issued in MI
Legal business name
CENTER OF BEHAVIORAL THERAPY, INC.
Practice address
28807 8 Mile Rd
Suite 102
Livonia, MI 48152-2078
Phone
(248) 471-5550
Fax
(248) 471-5556
NPI assigned
Mar 14, 2017
Last updated
Mar 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Mrs. Shawntay Lanesha Dixon, M.B.A.
Title
Board of Director
Phone
(248) 471-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 820734 MI Primary

Addresses

Primary practice location

28807 8 Mile Rd
Suite 102
Livonia, MI 48152-2078

Mailing address

28807 8 Mile Rd
Suite 102
Livonia, MI 48152-2078
Phone (248) 471-5550

National Provider Directory

National Provider Directory

Locations

28807 8 Mile Rd
Ste 102
Livonia, MI 48152
Phone (248) 471-5550

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1568903268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28807 8 MILE RD",
            "address_2": "SUITE 102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522078",
            "telephone_number": "248-471-5550",
            "fax_number": "248-471-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28807 8 MILE RD",
            "address_2": "SUITE 102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522078",
            "telephone_number": "248-471-5550",
            "fax_number": "248-471-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF BEHAVIORAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "SHAWNTAY",
        "authorized_official_middle_name": "LANESHA",
        "authorized_official_title_or_position": "BOARD OF DIRECTOR",
        "authorized_official_telephone_number": "248-471-5550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "820734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.