NPIMap

Organization Active NPI

Ascension Southeast Michigan Community Health

  • Adolescent and Children Mental Health Clinic/Center
  • Detroit, MI
National Provider Identifier
1609245216
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
6401013184 Issued in MI
Legal business name
ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH
Practice address
11600 E 7 Mile Rd
Detroit, MI 48205-2112
Phone
(313) 373-5974
Fax
(313) 372-6579
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Lonnie Frederick Harvey III, MA, LLPC
Title
Behavioral Heallth Counselor
Phone
(313) 372-5974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 6401013184 MI Primary

Addresses

Primary practice location

11600 E 7 Mile Rd
Detroit, MI 48205-2112

Mailing address

11600 E 7 Mile Rd
Detroit, MI 48205-2112
Phone (313) 373-5974

National Provider Directory

National Provider Directory
Tax ID family
Ascension Southeast Health4 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.

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1609245216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052112",
            "telephone_number": "313-373-5974",
            "fax_number": "313-372-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052112",
            "telephone_number": "313-373-5974",
            "fax_number": "313-372-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "BEHAVIORAL HEALLTH COUNSELOR",
        "authorized_official_telephone_number": "313-372-5974",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MA, LLPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6401013184",
            "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 31, 2019; 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.