Organization Active NPI

Ebony Putman

  • Mental Health Counselor
  • Detroit, MI
National Provider Identifier
1578812657
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EBONY PUTMAN
Practice address
12744 Plymouth
Detroit, MI 48227
Phone
(313) 931-1242
Fax
(313) 931-1242
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Ebony Putman
Title
Owner
Phone
(313) 220-4957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MI Primary

Addresses

Primary practice location

12744 Plymouth
Detroit, MI 48227

Mailing address

12744 Plymouth
Detroit, MI 48227
Phone (313) 931-1242

National Provider Directory

National Provider Directory

Locations

12744 Plymouth Rd
Detroit, MI 48227
Phone (313) 220-4957

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1578812657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12744 PLYMOUTH",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48227",
            "telephone_number": "313-931-1242",
            "fax_number": "313-931-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12744 PLYMOUTH",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48227",
            "telephone_number": "313-931-1242",
            "fax_number": "313-931-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONY PUTMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "PUTMAN",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-220-4957"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 9, 2013; 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.