Active NPI
Covenant Neurological Services, PC
- Medical Specialty Clinic/Center
- Southfield, MI
National Provider Identifier
1669611059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 4301053752
- Legal business name
- COVENANT NEUROLOGICAL SERVICES, PC
- Practice address
- 23077 Greenfield Rd Ste 200
Southfield, MI 48075-3750 - Phone
- (248) 569-5476
- NPI assigned
- Feb 10, 2009
- Last updated
- Apr 1, 2009
- 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
- Dr. Charise Valentine, M. D.
- Title
- Doctor
- Phone
- (248) 569-5476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 4301053752 | MI | Primary |
Addresses
Primary practice location
23077 Greenfield Rd Ste 200
Southfield, MI 48075-3750
Mailing address
4245 S Beech Daly St
Dearborn Heights, MI 48125-1567
National Provider Directory
National Provider DirectoryLocations
15831 Mack Ave
Detroit, MI 48224
Phone (313) 882-2266
17700 Northland Park Ct
Ste 20
Southfield, MI 48075
Phone (248) 569-5476
23077 Greenfield Rd
Ste 200
Southfield, MI 48075
Phone (248) 424-8888
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Public Health & General Preventive Medicine Physician
- Detroit, MI
- NPI 1619964269
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1972514107
-
- Ophthalmology Physician
- Harper Woods, MI
- NPI 1477539088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1669611059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 S BEECH DALY ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481251567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23077 GREENFIELD RD STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753750",
"telephone_number": "248-569-5476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT NEUROLOGICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-10",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "VALENTINE",
"authorized_official_first_name": "CHARISE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "248-569-5476",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MI",
"license": "4301053752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Counseling Consulting and Supervision Services LLC
- Counseling Insisghts, P.C. (Counseling Insights, p.c.)
- Counseling Services P.C.
- County of Oakland (Oakland County Health Division Laboratory- South)
- Melanie Coven
- Monoseta Covington-Burwell, D.M.D.
- Cierra C Coward
- James Arthur Cowley Sr., MSW CSW SAP
- Erin Cox, BSW
- Kayla Cox
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.