Active NPI
Community Social Services of Wayne County
- Community/Behavioral Health Agency
- Grosse Pointe Park, MI
National Provider Identifier
1639390883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- SA0820021
- Legal business name
- COMMUNITY SOCIAL SERVICES OF WAYNE COUNTY
- Practice address
- 15450 East Jefferson Ave
Suite # 190
Grosse Pointe Park, MI 48230-2032 - Phone
- (313) 852-1200
- Fax
- (313) 821-1046
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick J Heron
- Title
- Ceo
- Phone
- (313) 883-2339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | SA0820021 | MI | Primary |
Addresses
Primary practice location
15450 East Jefferson Ave
Suite # 190
Grosse Pointe Park, MI 48230-2032
Mailing address
9851 Hamilton Ave
Detroit, MI 48202-1424
Phone (313) 883-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12551 | Other | MI | BEACON HEALTH OPTIONS |
National Provider Directory
National Provider Directory- Tax ID family
- Community Social Services of Wayne County
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1003968413
-
- Community/Behavioral Health Agency
- Dearborn, MI
- NPI 1417178609
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1891907721
Locations
15450 E Jefferson Ave
Ste 190
Grosse Pointe Park, MI 48230
Phone (313) 852-1200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466726400000",
"number": "1639390883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9851 HAMILTON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482021424",
"telephone_number": "313-883-2100",
"fax_number": "313-883-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15450 EAST JEFFERSON AVE",
"address_2": "SUITE # 190",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482302032",
"telephone_number": "313-852-1200",
"fax_number": "313-821-1046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY SOCIAL SERVICES OF WAYNE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2016-06-24",
"status": "A",
"authorized_official_last_name": "HERON",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "313-883-2339",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "SA0820021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH OPTIONS",
"identifier": "12551",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.