Organization Active NPI

Deeper Roots Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmington Hills, MI
National Provider Identifier
1598387128
Registry record updated Aug 12, 2022
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
DEEPER ROOTS WELLNESS LLC
Practice address
34024 W 8 Mile Rd Ste 104
Farmington Hills, MI 48335-5209
Phone
(313) 437-1869
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Amy Delira, LMSW, IECMH-ENPI 1982980512
Title
Clinical Therapist
Phone
(313) 720-4522

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

34024 W 8 Mile Rd Ste 104
Farmington Hills, MI 48335-5209

Mailing address

33550 Stocker St
Farmington Hills, MI 48335-5361
Phone (313) 720-4522

National Provider Directory

National Provider Directory

Locations

4120 W Maple Rd
Ste 101
Bloomfield Township, MI 48301
Phone (248) 255-6292

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": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1598387128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33550 STOCKER ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355361",
            "telephone_number": "313-720-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34024 W 8 MILE RD STE 104",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355209",
            "telephone_number": "313-437-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPER ROOTS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "DELIRA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "313-720-4522",
        "authorized_official_credential": "LMSW, IECMH-E"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.