NPIMap

Organization Active NPI

Northeast Guidance Center

  • Community/Behavioral Health Agency
  • Detroit, MI
National Provider Identifier
1629476379
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
680208715 Issued in MI
Legal business name
NORTHEAST GUIDANCE CENTER
Practice address
12800 Warren
Detroit, MI 48215
Phone
(313) 824-8000
NPI assigned
Dec 11, 2014
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Mr. Tony Lamont Price
Title
Act Advocate
Phone
(313) 784-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 680208715 MI Primary

Addresses

Primary practice location

12800 Warren
Detroit, MI 48215

Mailing address

661 Covington Dr Apt B6
Detroit, MI 48203-3834
Phone (313) 784-3336

National Provider Directory

National Provider Directory
Tax ID family
Northeast Guidance Center5 organizations share this tax ID, including this one
Part of
Northeast Guidance Center

Other organizations with this tax ID 4

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": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1629476379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 COVINGTON DR APT B6",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482033834",
            "telephone_number": "313-784-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 WARREN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48215",
            "telephone_number": "313-824-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GUIDANCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "ACT ADVOCATE",
        "authorized_official_telephone_number": "313-784-3336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "680208715",
            "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 Dec 11, 2014; 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.