NPIMap

Organization Active NPI

Henry Ford Behavioral Health- Clinton Oaks

  • Clinic/Center
  • Clinton Township, MI
National Provider Identifier
1619900396
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HENRY FORD BEHAVIORAL HEALTH- CLINTON OAKS
Practice address
42633 Garfield Rd
Suite 314
Clinton Township, MI 48038-5033
Phone
(586) 226-7007
Fax
(586) 226-7033
NPI assigned
Jul 8, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. James Connelly
Title
Sr. V. P.
Phone
(313) 874-8714

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

42633 Garfield Rd
Suite 314
Clinton Township, MI 48038-5033

Mailing address

42633 Garfield Rd
Suite 314
Clinton Township, MI 48038-5033
Phone (586) 226-7007

Other names 1

  • Henry Ford Health System Other name

National Provider Directory

National Provider Directory
Tax ID family
Chery Veeck158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619900396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42633 GARFIELD RD",
            "address_2": "SUITE 314",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385033",
            "telephone_number": "586-226-7007",
            "fax_number": "586-226-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42633 GARFIELD RD",
            "address_2": "SUITE 314",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385033",
            "telephone_number": "586-226-7007",
            "fax_number": "586-226-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD BEHAVIORAL HEALTH- CLINTON OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SR. V. P.",
        "authorized_official_telephone_number": "313-874-8714",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Health System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.